KING GEORGE FAMILY DOCTORS LLC NPI 1811356595

NPI Information

NPI: 1811356595
Provider Name: KING GEORGE FAMILY DOCTORS, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 49D2071069

Address:
11131 JOURNAL PKWY
KING GEORGE, VA
ZIP 22485
Phone: (540) 625-2527
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KING GEORGE FAMILY DOCTORS, LLC is a primary care clinic center in King George, VA. KING GEORGE FAMILY DOCTORS, LLC NPI is 1811356595. The provider is registered as an organization entity type.

The provider's business location address is:

11131 JOURNAL PKWY
KING GEORGE, VA
ZIP 22485-468
Phone: (540) 625-2527

The provider's authorized official is Jessica Herrink .
The authorized official title is Member and has the following contact phone number (804) 761-7792.

The CLIA number assigned to this NPI record is 49D2071069 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/23/2016 and was last updated on 3/28/2016.

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
1	261QP2300X	Clinic/Center	Primary Care			Yes

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

NPI Synchronization or Removal

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