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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