Unknown Individual – Specialist, NPI 1780805101
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
9121 BEACHWAY LN
SPRINGFIELD, VA 221531121
Phone: (703) 980-3699
Type: Mailing
7230 HERITAGE VILLAGE PLZ
SUITE 201
GAINESVILLE, VA 201553053
Phone: (703) 980-3699
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22153)
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