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HERITAGE FAMILY PRACTICE ASSOCIATES, P.C.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1881765279

Organizational Registrant:
Organization Name:  HERITAGE FAMILY PRACTICE ASSOCIATES, P.C.
Organization is not Subpart
Authorized Official:  JAMES  OVERTON  OFFICE MANAGER  703--38-56789

Location and contact information for practice:
4001 FAIR RIDGE DR #101 FAIRFAX, VA 22033-2917 US
Tel: 703-385-6789  Fax: 703-352-9409

Contact information for business:
4001 FAIR RIDGE DR #101 FAIRFAX, VA 22033-2917 US
Tel: 703-385-6789  Fax: 703-352-9409

Registration Information:
NPI: 1881765279
Entity Type: Organization

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
VA0645748

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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