Organization
CAVERY WELLNESS OF FAIRFAX, LLC
Active
Other names
MEDI Weightloss of Fairfax
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY HARSHBERGER FNP-BC (OWNER)
(571) 408-9139
Entity
Organization
Contact information
Practice address
14610 SULKY RUN CT, NOKESVILLE, VA 20181-2953
(571) 408-9139
Mailing address
14610 SULKY RUN CT, NOKESVILLE, VA 20181-2953
(571) 408-9139
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1043570294
VA
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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