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The Medical Clinic
Specialist in Annandale, Virginia
NPI 1477885341

The Medical Clinic is a Specialist based in Glenn Dale, VA. The Medical Clinic practices in Annandale, VA. The NPI Number for The Medical Clinic is 1477885341 and holds a License No. D0053733 (Virginia).

The current practice location address for The Medical Clinic is 4217 Evergreen Ln, Annandale, VA and can be reached out via phone at 301-886-8363 and via fax at 301-441-8806.

Location: 4217 Evergreen Ln, Annandale, VA, 20769-9182
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477885341
Provider Name
The Medical Clinic
Credential
Provider Entity Type
Organization
Address
4217 Evergreen Ln, Annandale, VA, 20769-9182
Phone Number
301-886-8363
Fax Number
301-441-8806
Provider Enumeration Date
02/03/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G00397 01 DC MEDICARE ID
893L 01 MD MEDICARE ID
institution
Provider Business Practice Location Address Details
Address
4217 Evergreen Ln
City
Annandale
State
Virginia
Zip
22003-3210
Phone Number
301-886-8363
Fax Number
301-441-8806
person
Provider Business Mailing Address Details
Address
4217 Evergreen Ln
City
Annandale
State
Virginia
Zip
22003-3210
Phone Number
301-886-8363
Fax Number
301-441-8806
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
D0053733 (Maryland)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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