Organization
FAMILY MEDICINE ASSOCIATES OF NORTH STAFFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA REID MD (PRESIDENT)
(909) 281-4720
Entity
Organization
Contact information
Practice address
2761 JEFFERSON DAVIS HWY STE 101, STAFFORD, VA 22554-8330
(909) 281-4720
Mailing address
2761 JEFFERSON DAVIS HWY STE 101, STAFFORD, VA 22554-8330
(540) 786-2100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010211689
—
VA
01
—
541595397
TRICARE
VA
Enumeration date
10/28/2019
Last updated
01/23/2020
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