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Organization

CAPITAL NEUROLOGY AND HEADACHE CENTER, P.L.C.

Active
Other names
The Neurology and Headache Treatment Center Innovative Clinical Resear
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PATRICIA J MULLINS CMPE (EXECUTIVE DIRECTOR)
(703) 212-0700
Entity
Organization

Contact information

Practice address
4660 KENMORE AVE, SUITE 900, ALEXANDRIA, VA 22304-1313
(703) 212-0700
(703) 212-0705
Mailing address
4660 KENMORE AVE, SUITE 900, ALEXANDRIA, VA 22304-1313
(703) 212-0700
(703) 212-0705

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
30261-01
VA

Other

Enumeration date
09/28/2006
Last updated
05/19/2010
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