Organization
METRO MOHS SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY SELLIN (PRACTICE ADMINISTRATOR)
(703) 705-7505
Entity
Organization
Contact information
Practice address
5501 BACKLICK RD STE 120, SPRINGFIELD, VA 22151-3940
(301) 966-7744
Mailing address
5501 BACKLICK RD STE 110&120, SPRINGFIELD, VA 22151-3933
(703) 705-7505
(866) 990-3880
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
207ND0900X
Dermatopathology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
05/15/2019
Last updated
10/27/2025
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