Organization
NOVA ADDICTION SPECIALISTS LLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL HOMEYER MD (MEDICAL DIRECTOR)
(703) 340-1304
Entity
Organization
Contact information
Practice address
101 N COLUMBUS ST, SUITE 405, ALEXANDRIA, VA 22314-3056
(703) 340-1304
(888) 965-7708
Mailing address
101 N COLUMBUS ST, SUITE 405, ALEXANDRIA, VA 22314-3056
(703) 340-1304
(888) 965-7708
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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