Organization
NORTHERN VIRGINIA FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GILLIAM (OWNER)
(571) 374-1234
Entity
Organization
Contact information
Practice address
4101 CHESHIRE STATION PLAZA, SUITE 500, DALE CITY, VA 22193
(571) 374-1234
Mailing address
4101 CHESHIRE STATION PLAZA, SUITE 500, DALE CITY, VA 22193
(571) 374-1234
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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