Organization
METRO IPC GEORGIA AVE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER TIMM (CENTER ADMINISTRATOR)
(202) 641-4155
Entity
Organization
Contact information
Practice address
6323 GEORGIA AVE NW, SUITE 101, WASHINGTON, DC 20011-1101
(202) 641-4155
(202) 827-7867
Mailing address
6323 GEORGIA AVE NW, SUITE 101, WASHINGTON, DC 20011-1101
(202) 641-4155
(202) 827-7867
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD040210
DC
Other
Enumeration date
09/19/2012
Last updated
11/26/2012
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