# ACSH PRIMARY CARE OF VIRIGINA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902212343
- **Authorized official:** NORMAN WINLAND (COO)
- **Authorized official phone:** (404) 465-1000

## Contact information

- **Practice address:** 12713 SHOPPES LN, FAIRFAX, VA 22033-3834
- **Practice address phone:** (703) 222-3555
- **Mailing address:** PO BOX 101099, ATLANTA, GA 30392-1099

## Taxonomy

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

## Other

- **Enumeration date:** 07/07/2014
- **Last updated:** 08/17/2015