Organization
PRIMEDOC OF MANASSAS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT REYNOLDS MD (PRESIDENT)
(828) 210-3260
Entity
Organization
Contact information
Practice address
8700 SUDLEY RD, MANASSAS, VA 20110-4418
(703) 369-8000
Mailing address
PO BOX 602173, CHARLOTTE, NC 28260-2173
(800) 815-7491
(843) 237-9736
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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