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Organization

TEN PRO CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JIHO CHOI MD (OWNER)
(703) 829-6162
Entity
Organization

Contact information

Practice address
4216 EVERGREEN LN STE 121, ANNANDALE, VA 22003-3256
(703) 829-6162
(703) 662-6165
Mailing address
4216 EVERGREEN LN STE 121, ANNANDALE, VA 22003-3256
(703) 829-6162
(703) 662-6165

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1111111
MEDICAL CARE
VA
Enumeration date
02/27/2023
Last updated
02/27/2023
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