Dermatology & Dermatologic Surgery Group of Northern Virginia Pllc

NPI #1386810299 in Vienna, Virginia

Provider Information

NPI Number: 1386810299
Entity Type: Organization
Organization Name: Dermatology & Dermatologic Surgery Group of Northern Virginia Pllc
Primary Specialty: Dermatology
Enumeration Date: May 1, 2008
Last Updated: Sep 12, 2008

Practice Location

Address: 243 CHURCH ST NW
City: Vienna
State: Virginia
ZIP Code: 22180-4434
Phone: (703) 969-9944

Authorized Official

Name: MRS. LINDA P NIMS, MD
Title: SOLE MEMBER
Phone: (703) 969-9944

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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