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POTOMAC PAIN AND WELLNESS CENTER INC NPI 1679985816


NPI Information

NPI: 1679985816
Provider Name: POTOMAC PAIN AND WELLNESS CENTER INC
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
7535 LITTLE RIVER TPKE
SUITE 100C
ANNANDALE, VA
ZIP 22003
Phone: (703) 642-1004
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POTOMAC PAIN AND WELLNESS CENTER INC is a pain clinic center in Annandale, VA. POTOMAC PAIN AND WELLNESS CENTER INC NPI is 1679985816. The provider is registered as an organization entity type.

The provider's business location address is:

7535 LITTLE RIVER TPKE
SUITE 100C
ANNANDALE, VA
ZIP 22003-937
Phone: (703) 642-1004

The provider's authorized official is Eunhee Lee .
The authorized official title is Ceo and has the following contact phone number (703) 642-1004.

The enumeration date for this NPI number is 5/22/2014 and was last updated on 5/22/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP3300XClinic/CenterPainYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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