Organization
FAIRFAX FAMILY PRACTICE CENTERS, P.C
Active
Parent organization
FAIRFAX FAMILY PRACTICE CENTERS, P.C.
Other names
Prosperity Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAIRFAX FAMILY PRACTICE CENTERS, P.C.
Authorized official
JAMES P JENKINS JR. MD (PRESIDENT)
(703) 255-9100
Entity
Organization
Contact information
Practice address
8301 ARLINGTON BLVD, SUITE 405, FAIRFAX, VA 22031-2902
(703) 698-9000
(703) 698-6901
Mailing address
PO BOX 791128, BALTIMORE, MD 21279-1128
(703) 391-2030
(703) 273-3943
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
10/27/2006
Last updated
01/07/2011
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