Organization
PRIMARY HEALTH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAEJONG OH D.C. (OWNER)
(703) 354-8111
Entity
Organization
Contact information
Practice address
7360 MCWHORTER PL, SUITE 100, ANNANDALE, VA 22003-5633
(703) 354-8111
Mailing address
7360 MCWHORTER PL, SUITE 100, ANNANDALE, VA 22003-5633
(703) 354-8111
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
274262
ANTHEM
VA
01
—
G771-0001
BLUE CROSS BLUE SHIELD
VA
Enumeration date
03/11/2008
Last updated
03/11/2008
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