Organization
ACCREDITED ALLERGY CENTER OF SPRINGFIELD, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA TEAGUE (PRACTICE ADMINISTRATOR)
(703) 569-1913
Entity
Organization
Contact information
Practice address
8134 OLD KEENE MILL RD STE 301, SPRINGFIELD, VA 22152-1849
(703) 569-1913
(703) 569-6035
Mailing address
8134 OLD KEENE MILL RD STE 301, SPRINGFIELD, VA 22152-1849
(703) 569-1913
(703) 569-6035
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101237445
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10191734
—
VA
Enumeration date
05/31/2007
Last updated
08/22/2020
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