Organization
AMERICARE NUCMED CLINIC & GENERAL PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANA VINCENT (MANAGER)
(240) 424-9615
Entity
Organization
Contact information
Practice address
3301 WOODBURN RD STE 102, ANNANDALE, VA 22003-6889
(703) 894-0009
Mailing address
3301 WOODBURN RD STE 102, ANNANDALE, VA 22003-6889
(703) 894-0009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207U00000X
Nuclear Medicine Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
Other
Enumeration date
04/02/2025
Last updated
04/21/2025
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