Organization
MOUNT VERNON PRIMARY CARE ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEGINA GRAY (PRACTICE ADMINISTRATOR)
(703) 799-4000
Entity
Organization
Contact information
Practice address
8101 HINSON FARM RD, 415, ALEXANDRIA, VA 22306-3403
(703) 799-4000
(703) 799-4569
Mailing address
8101 HINSON FARM RD, 415, ALEXANDRIA, VA 22306-3403
(703) 799-4000
(703) 799-4569
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ2302
MEDICARE B - RAILROAD
—
Enumeration date
09/28/2007
Last updated
01/09/2013
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