Organization
MEDICAL MANAGEMENT OF VIRGINIA, LLC
Active
Organization
MEDICAL MANAGEMENT OF VIRGINIA, LLC
Active
Other names
Natural Horizons Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BUCKNER (BUSINESS ADMINISTRATOR)
(703) 246-9355
Entity
Organization
Contact information
Practice address
11230 WAPLES MILL RD, SUITE 125, FAIRFAX, VA 22030-6087
(703) 246-9355
(703) 267-6977
Mailing address
11230 WAPLES MILL RD, SUITE 125, FAIRFAX, VA 22030-6087
(703) 246-9355
(703) 267-6977
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
VA
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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