Potomac Village Family Practice PC
NPI #1982810016 in Woodbridge, Virginia
Provider Information
- NPI Number
- 1982810016
- Entity Type
- Organization
- Organization Name
- Potomac Village Family Practice PC
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 15, 2007
- Last Updated
- Sep 20, 2007
Practice Location
- Address
- 2010 OPITZ BLVD STE A
- City
- Woodbridge
- State
- Virginia
- ZIP Code
- 22191-3359
- Phone
- (703) 494-1028
Authorized Official
- Name
- MRS. KATHLEEN MARIE CHANDLER
- Title
- OFFICE MANAGER
- Phone
- (703) 494-1028
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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