Organization
FAIRFAX FAMILY PRACTICE CENTERS PC
Active
Other names
Prince William Family Medicine Gainesville
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES P JENKINS MD (PRESIDENT)
(703) 255-9100
Entity
Organization
Contact information
Practice address
8078 CRESCENT PARK DRIVE, SUITE 201, GAINESVILLE, VA 20155
(703) 257-8090
(703) 257-7822
Mailing address
PO BOX 791128, BALTIMORE, MD 21279-1128
(703) 257-8090
(703) 257-7822
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/16/2007
Last updated
12/26/2007
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