Organization
DOMINION MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYANN AYERS (ADMINISTRATOR)
(301) 870-3540
Entity
Organization
Contact information
Practice address
11463 RIDGE RD, KING GEORGE, VA 22485-4078
(301) 870-3540
(301) 392-1726
Mailing address
11463 RIDGE RD, P.O. BOX 999, KING GEORGE, VA 22485-4078
(301) 870-3540
(301) 392-1726
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/30/2007
Last updated
03/17/2008
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