Organization
LEESBURG MEDICAL CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NADYA CARRIGER N.P. (OWNER)
(703) 596-7000
Entity
Organization
Contact information
Practice address
44121 HARRY BYRD HWY STE 225, ASHBURN, VA 20147-5672
(703) 596-7000
(800) 609-0775
Mailing address
44121 HARRY BYRD HWY STE 225, ASHBURN, VA 20147-5672
(703) 596-7000
(800) 609-0775
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0024169591
VA
261QP2300X
Primary Care Clinic/Center
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1819974538
NPI
VA
Enumeration date
02/08/2012
Last updated
06/16/2018
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