Organization
FAIRFAX FAMILY PRACTICE CENTERS PC
Active
Other names
Broadlands Family Practice at Brambleton
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES P JENKINS MD (PRESIDENT)
(703) 255-9100
Entity
Organization
Contact information
Practice address
22895 BRAMBLETON PLACE, SUITE 200, BRAMBLETON, VA 20148
(703) 726-0003
(703) 726-6444
Mailing address
22895 BRAMBLETON PLACE, SUITE 200, BRAMBLETON, VA 20148
(703) 726-0003
(703) 726-6444
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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