Organization
HERITAGE FAMILY PRACTICE ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES OVERTON (OFFICE MANAGER)
(703) 385-6789
Entity
Organization
Contact information
Practice address
4001 FAIR RIDGE DR, #101, FAIRFAX, VA 22033-2917
(703) 385-6789
(703) 352-9409
Mailing address
4001 FAIR RIDGE DR, #101, FAIRFAX, VA 22033-2917
(703) 385-6789
(703) 352-9409
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0645748
VA
Other
Enumeration date
11/10/2006
Last updated
04/09/2014
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