Organization
SPINE CARE OF ALEXANDRIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE MICHELLE UNDERWOOD (OFFICE MANAGER)
(703) 719-7302
Entity
Organization
Contact information
Practice address
6285 FRANCONIA RD, ALEXANDRIA, VA 22310-2510
(703) 719-7302
(703) 719-9462
Mailing address
6285 FRANCONIA RD, ALEXANDRIA, VA 22310-2510
(703) 719-7302
(703) 719-9462
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
0104001006
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528136967
GROUP NPI
VA
01
—
1790865285
NPI
VA
01
—
DE0896
RAILROAD MEDICARE
VA
Enumeration date
12/02/2006
Last updated
11/02/2011
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