Organization
FAIR OAKS MEDICAL CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVA COLEMAN MD (PRESIDENT)
(703) 264-0220
Entity
Organization
Contact information
Practice address
3650 JOSEPH SIEWICK DR, STE. 303, FAIRFAX, VA 22033-1710
(703) 264-0220
(703) 264-0231
Mailing address
12703 LAUREL GROVE WAY, FAIRFAX, VA 22033-1625
(703) 264-0220
(703) 264-0231
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101231908
VA
Other
Enumeration date
09/26/2006
Last updated
08/22/2020
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