Organization
TIG LLC
Active
Other names
PRIMARY HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYUNGWOOK MOON D.C. (OWNER)
(703) 354-8111
Entity
Organization
Contact information
Practice address
7360 MCWHORTER PL STE 100, ANNANDALE, VA 22003-5633
(703) 354-8111
(703) 354-8108
Mailing address
7360 MCWHORTER PL STE 100, ANNANDALE, VA 22003-5633
(703) 354-8111
(703) 354-8108
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557226
VA
Other
Enumeration date
06/13/2017
Last updated
07/21/2022
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