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Organization

CHANCELLOR PRIMARY CARE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER ROSS MD (OWNER)
(540) 295-9725
Entity
Organization

Contact information

Practice address
4510 PLANK RD STE 200, FREDERICKSBURG, VA 22407-0138
(540) 295-9725
Mailing address
4510 PLANK RD STE 200, FREDERICKSBURG, VA 22407-0138
(540) 295-9725

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
01/19/2021
Last updated
02/23/2021
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