Fairfax Family Practice Centers PC

NPI #1528182706 in Chantilly, Virginia

Provider Information

NPI Number: 1528182706
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: Mar 16, 2007
Last Updated: Dec 27, 2007

Practice Location

Address: 4080 LAFAYETTE CENTER DRIVE
Address 2: SUITE 170 LAFAYETTE ONE BUSINESS PARK
City: Chantilly
State: Virginia
ZIP Code: 20151
Phone: (703) 766-5040

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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