Organization · Type 2 NPI

Premise Health of Virginia Medical PC

Multi-Specialty Clinic/Center · Manassas, VA

NPI number 1629743968 Active

Practice location

10432 Balls Ford Rd Ste 224
Manassas, VA 20109-2516

Mailing address

5500 Maryland Way
Brentwood, TN 37027-7048

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1629743968

Premise Health of Virginia Medical PC's National Provider Identifier is 1629743968, issued on Aug 10, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Manassas, VA. The record was last updated on Feb 13, 2026.