Organization
WELLNESS AND PREVENTATIVE CARE CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JYOTHI GADDE M.D. (OWNER OF PRACTICE)
(540) 428-1715
Entity
Organization
Contact information
Practice address
13135 LEE JACKSON MEMORIAL HWY, FAIRFAX, VA 22033-1907
(703) 648-0015
Mailing address
PO BOX 3003, WARRENTON, VA 20188-1703
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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