# AMH SERIES II VA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ageless Men's Health VA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780364737
- **Authorized official:** AMANDA WILKINSON (CREDENTIALING MANAGER)
- **Authorized official phone:** (602) 796-2559

## Contact information

- **Practice address:** 8622 LEE HWY STE C, FAIRFAX, VA 22031-2148
- **Practice address phone:** (901) 238-7629
- **Mailing address:** 8622 ROUTE 29 STE C, FAIRFAX, VA 22031-2148

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/24/2023
- **Last updated:** 02/05/2026