Organization · Type 2 NPI

Evernorth Care Providers - Tennessee PC

General Practice Physician · Fairfax, VA

NPI number 1174304976 Active

Practice location

11350 Random Hills Rd Ste 800
Fairfax, VA 22030-6044

Call (773) 292-4800 Map

Fax (312) 564-4059

Mailing address

730 Cool Springs Blvd Ste 500
Franklin, TN 37067-7331

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

14 other providers at this address

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About NPI 1174304976

Evernorth Care Providers - Tennessee PC's National Provider Identifier is 1174304976, issued on Oct 9, 2023. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Fairfax, VA. The record was last updated on Jul 14, 2025.