Organization
CARECLIX
Active
Organization
CARECLIX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON KIM (IMPLEMENTATION MANAGER)
(703) 291-1285
Entity
Organization
Contact information
Practice address
1934 OLD GALLOWS RD, SUITE 350, VIENNA, VA 22182-4042
(703) 291-1285
(571) 424-1114
Mailing address
1934 OLD GALLOWS RD, SUITE 350, VIENNA, VA 22182-4042
(703) 291-1285
(571) 424-1114
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.123867
OH
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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