Organization
J NELSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REINA SANTOS (OFFICE MANAGER)
(571) 719-3059
Entity
Organization
Contact information
Practice address
7960 DONEGAN DR, SUITE 217, MANASSAS, VA 20109-8236
(703) 393-6366
(571) 379-8364
Mailing address
7371 ATLAS WALK WAY, #648, GAINESVILLE, VA 20155-2992
(571) 719-3059
(703) 656-4777
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101228762
VA
Other
Enumeration date
02/28/2017
Last updated
03/01/2017
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