Organization
TJ MEDICAL SPA LLC
Active
Other names
EVERGREEN MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
JIN M CHOI (CEO)
(571) 335-3636
Entity
Organization
Contact information
Practice address
14117 MARIAH CT, CHANTILLY, VA 20151-2113
(571) 335-3636
Mailing address
14117 MARIAH CT, CHANTILLY, VA 20151-2113
(571) 335-3636
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/19/2026
Last updated
07/08/2026
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