Primary Gerontology Center LLC
NPI #1215425384 in Lake Ridge, Virginia
Provider Information
- NPI Number
- 1215425384
- Entity Type
- Organization
- Organization Name
- Primary Gerontology Center LLC
- Primary Specialty
- Family Medicine - Geriatric Medicine
- Enumeration Date
- Apr 24, 2018
- Last Updated
- Jul 1, 2020
Practice Location
- Address
- 4196 MERCHANT PLZ STE 348
- City
- Lake Ridge
- State
- Virginia
- ZIP Code
- 22192-5085
- Phone
- (571) 206-1650
Authorized Official
- Name
- JIHO CHOI, MD
- Title
- OWNER/STAFF PHYSICIAN
- Phone
- (571) 206-1650
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Geriatric Medicine — Geriatric Medicine |
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