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Axiom Health Corporation
Primary Care Clinic/Center in Manassas, Virginia
NPI 1700129194

Axiom Health Corporation is a Primary Care Clinic/Center based in Manassas, VA and is specialized in Primary Care. Axiom Health Corporation practices in Manassas, VA. The NPI Number for Axiom Health Corporation is 1700129194 and holds a License No. 0024167755 (Virginia).

The current practice location address for Axiom Health Corporation is 9707 Signal Ct, Manassas, VA and can be reached out via phone at 703-459-4773.

Location: 9707 Signal Ct, Manassas, VA, 20111-2505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700129194
Provider Name
Axiom Health Corporation
Credential
Provider Entity Type
Organization
Address
9707 Signal Ct, Manassas, VA, 20111-2505
Phone Number
703-459-4773
Fax Number
Provider Enumeration Date
04/03/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0024167755 01 VA BOARD OF NURSING, NURSE PRACTITIONER LICENSE
1912174855 01 VA NPI
institution
Provider Business Practice Location Address Details
Address
9707 Signal Ct
City
Manassas
State
Virginia
Zip
20111-2505
Phone Number
703-459-4773
Fax Number
person
Provider Business Mailing Address Details
Address
9707 Signal Ct
City
Manassas
State
Virginia
Zip
20111-2505
Phone Number
703-459-4773
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
0024167755 (Virginia)
Definition
Definition to come...
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