Organization
VIRGINIA MEDICAL ACUTE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN J GRANDERSON (ADMINISTRATOR)
(703) 642-2273
Entity
Organization
Contact information
Practice address
5501 BACKLICK RD, SUITE 105, SPRINGFIELD, VA 22151-3933
(703) 642-2273
(703) 564-6544
Mailing address
5501 BACKLICK RD, SUITE 105, SPRINGFIELD, VA 22151-3933
(703) 642-2273
(703) 564-6544
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
0101027333
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336247261
NPI # DR. MARK DAVIS
VA
Enumeration date
09/27/2006
Last updated
08/22/2020
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