Organization
REGENERATIVE MEDICINE CENTER, PLC
Active
Other names
Pain Management Center of Virginia, PLC
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY GOLDBRANSON (PRACTICE ADMINISTRATOR)
(703) 709-6515
Entity
Organization
Contact information
Practice address
11800 SUNRISE VALLEY DRIVE, SUITE 500, RESTON, VA 20191-5327
(703) 709-1383
(703) 709-6516
Mailing address
11800 SUNRISE VALLEY DRIVE, SUITE 500, RESTON, VA 20191-5327
(703) 709-1383
(703) 709-6516
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/15/2007
Last updated
02/06/2020
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