# MEDICAL SPECIALISTS OF NORTHERN VIRGINIA INC

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

## Provider details

- **NPI number:** 1912191420
- **Authorized official:** KELLY GREWING (ADMINISTRATOR)
- **Authorized official phone:** (940) 634-1699

## Contact information

- **Practice address:** 8101 HINSON FARM RD STE 219, ALEXANDRIA, VA 22306-3406
- **Practice address phone:** (703) 360-8383
- **Practice address fax:** (703) 360-0263
- **Mailing address:** 8101 HINSON FARM RD STE 219, ALEXANDRIA, VA 22306-3406
- **Mailing address phone:** (703) 360-8383
- **Mailing address fax:** (703) 360-0263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/29/2007
- **Last updated:** 09/19/2022