Organization
GERIATRIC CONSULTANTS OF FREDERICKSBURG, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK WAYLAND MARKS M.D. (PHYSICIAN)
(540) 786-8351
Entity
Organization
Contact information
Practice address
29 TALLY HO DR, FREDERICKSBURG, VA 22405-3308
(540) 786-8351
Mailing address
PO BOX 845, FREDERICKSBURG, VA 22404-0845
(540) 371-4488
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
0101020614
VA
363L00000X
Nurse Practitioner
0017137109
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005872308
—
VA
05
—
010315794
—
VA
Enumeration date
06/25/2006
Last updated
07/24/2008
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