Organization · Type 2 NPI

Fairfax Family Practice Centers PC

Family Medicine Physician · Fairfax, VA

NPI number 1639296254 Active

Practice location

3650 Joseph Siewick Drive, Suite 400
Fairfax, VA 22033

Call (703) 391-2020 Map

Fax (703) 391-1211

Mailing address

PO Box 791128
Baltimore, MD 21279-1128

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5 other providers at this address

Other family medicine physician providers in Fairfax

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NPI record

NPI: 1639296254
Entity type: Organization (Type 2)
Issued: Mar 26, 2007
Last updated: Dec 27, 2007
Status: Active
Subpart: Yes of Fairfax Family Practice Centers PC

Other names

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Fairfax Family Practice · doing business as

Authorized official

James P Jenkins, MD
President
(703) 255-9100

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1639296254

Fairfax Family Practice Centers PC's National Provider Identifier is 1639296254, issued on Mar 26, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Fairfax, VA. The record was last updated on Dec 27, 2007.