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Organization
ALEXANDRIA MED CLINIC
Active
Organization
ALEXANDRIA MED CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA CULL (COO)
(678) 469-5011
Entity
Organization
Contact information
Practice address
2560 HUNTINGTON AVE STE 104A, ALEXANDRIA, VA 22303-1448
(571) 429-5871
Mailing address
5821 SOUTHWEST FWY STE 550, HOUSTON, TX 77057-7531
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
05/17/2017
Last updated
03/17/2018
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