Organization
MEDIC 1 CLINICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE WASHINGTON (ADMINISTRATIVE ASSISTANT)
(540) 371-1664
Entity
Organization
Contact information
Practice address
3429 JEFFERSON DAVIS HWY, FREDERICKSBURG, VA 22408-4170
(540) 371-1664
Mailing address
3429 JEFFERSON DAVIS HWY, FREDERICKSBURG, VA 22408-4170
(540) 371-1664
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024716
ANTHEM/BLUE CROSS/BLUE SH
VA
Enumeration date
08/31/2006
Last updated
09/21/2007
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