Diabetes And Thyroid Associates PC
Clinic/Center, Medical Specialty in Fredericksburg, VA. Organization (NPI-2).
NPI number1528095809
StatusActive
Last updated in NPPESOct 18, 2022
Details
- NPI
- 1528095809
- Entity type
- Organization (NPI-2)
- Legal business name
- Diabetes And Thyroid Associates PC
- Organization subpart
- No
- Enumeration date
- Jun 26, 2006
- Certification date
- Oct 18, 2022
- Last updated
- Oct 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | – | – | Yes |
Practice location
10711 Spotsylvania AveFredericksburg, VA 22408-2674
Phone 540-891-8499 · Fax 540-891-8662
Mailing address
10711 Spotsylvania AveFredericksburg, VA 22408-2674
Phone 540-891-8499
Authorized official
Mark Allen McClanahan
President
5408918499
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