Organization
ACSH PRIMARY CARE OF VIRIGINA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN WINLAND (COO)
(404) 465-1000
Entity
Organization
Contact information
Practice address
12713 SHOPPES LN, FAIRFAX, VA 22033-3834
(703) 222-3555
Mailing address
PO BOX 101099, ATLANTA, GA 30392-1099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/07/2014
Last updated
08/17/2015
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