Organization
AMH SERIES II VA LLC
Active
Other names
Ageless Men's Health VA
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WILKINSON (CREDENTIALING MANAGER)
(602) 796-2559
Entity
Organization
Contact information
Practice address
8622 LEE HWY STE C, FAIRFAX, VA 22031-2148
(901) 238-7629
Mailing address
8622 ROUTE 29 STE C, FAIRFAX, VA 22031-2148
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
02/05/2026
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