Organization
ALEXANDRIA GERIATRIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH ANN WALCZAK (MEDICAL BILLER)
(703) 759-2724
Entity
Organization
Contact information
Practice address
10006 THOMPSON RIDGE CT, GREAT FALLS, VA 22066
(703) 759-6294
(703) 759-2724
Mailing address
PO BOX 641, GREAT FALLS, VA 22066-0641
(703) 759-2724
(703) 759-2724
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101033583
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5872936
—
VA
01
—
G3900001
BCBS
—
Enumeration date
04/28/2006
Last updated
10/25/2007
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