Organization
POTOMAC FAMILY AND SPORTS CHIROPRACTIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX MCMINN D.C. (OWNER AND PRESIDENT)
(703) 406-8686
Entity
Organization
Contact information
Practice address
21351 GENTRY DR, SUITE 125, STERLING, VA 20166-8510
(703) 406-8686
(703) 406-8688
Mailing address
21351 GENTRY DR, SUITE 125, STERLING, VA 20166-8510
(703) 406-8686
(703) 406-8688
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001404
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211692
ANTHEM
VA
01
—
4400165
UHC
VA
01
—
629493
ACN
VA
Enumeration date
11/30/2006
Last updated
02/25/2008
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