Reverent Medical Group INC
NPI #1457861403 in Fredericksburg, Virginia
Provider Information
- NPI Number
- 1457861403
- Entity Type
- Organization
- Organization Name
- Reverent Medical Group INC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Oct 4, 2017
- Last Updated
- Oct 12, 2022
Practice Location
- Address
- 623 EMANCIPATION HWY STE 101
- City
- Fredericksburg
- State
- Virginia
- ZIP Code
- 22401-4437
- Phone
- (800) 452-5574
Authorized Official
- Name
- DR. PETROS AYELE, MD
- Title
- CO OWNER
- Phone
- (202) 821-3040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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