Organization
PRIME CARE PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREJE LEGESSE MD (CHIEF MEDICAL DIRECTOR)
(571) 216-9984
Entity
Organization
Contact information
Practice address
6299 LEESBURG PIKE STE C, FALLS CHURCH, VA 22044-2101
(571) 216-9984
Mailing address
4666 KELL LN, ALEXANDRIA, VA 22311-4918
(571) 216-9984
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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