Organization
SENIORCARE GERIATRIC MEDICAL CTR LLC
Active
Organization
SENIORCARE GERIATRIC MEDICAL CTR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA P TATE (MANAGING PARTNER)
(540) 371-4488
Entity
Organization
Contact information
Practice address
4710 SPOTSYLVANIA PKWY, SUITE 204, FREDERICKSBURG, VA 22407-9433
(540) 371-4488
Mailing address
4710 SPOTSYLVANIA PKWY, SUITE 204, FREDERICKSBURG, VA 22407-9433
(540) 371-4488
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
0101242169
VA
Other
Enumeration date
03/09/2011
Last updated
05/27/2011
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