Fairfax Family Practice Centers PC

NPI #1083838072 in Lorton, Virginia

Provider Information

NPI Number: 1083838072
Entity Type: Organization
Organization Name: Fairfax Family Practice Centers PC
Subpart: Yes (part of a larger organization)
Parent Organization: FAIRFAX FAMILY PRACTICE CENTERS PC
Primary Specialty: Family Medicine
Enumeration Date: Apr 12, 2007
Last Updated: Dec 26, 2007

Practice Location

Address: 8988 LORTON STATION BLVD
Address 2: SUITE 201
City: Lorton
State: Virginia
ZIP Code: 22079
Phone: (703) 339-7550

Authorized Official

Name: JAMES P JENKINS, MD
Title: PRESIDENT
Phone: (703) 255-9100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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