Organization
MD WELLNESS AND HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAKINI SHANI GARRETT AINSWORTH (CEO, INTERNAL MEDICINE PHYSICIAN)
(540) 645-6400
Entity
Organization
Contact information
Practice address
10518 SPOTSYLVANIA AVE,, SUITE 102, FREDERICKSBURG, VA 22408
(540) 645-6400
(888) 427-4279
Mailing address
10518 SPOTSYLVANIA AVE,, SUITE 102, FREDERICKSBURG, VA 22408
(540) 645-6400
(888) 427-4279
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
0101238953
VA
Other
Enumeration date
11/03/2014
Last updated
11/20/2019
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