Organization
CENTREVILLE-CHANTILLY FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE RHODES (OFFICE MANAGER)
(703) 631-5151
Entity
Organization
Contact information
Practice address
5715 CENTRE SQUARE DR, CENTREVILLE, VA 20120-1916
(703) 631-5151
(703) 631-9754
Mailing address
5715 CENTRE SQUARE DR, CENTREVILLE, VA 20120-1916
(703) 631-5151
(703) 631-9754
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
VA
Other
Enumeration date
10/16/2007
Last updated
07/30/2008
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