OrganizationActive
Great Falls Geriatric Medicine, LLC
NPI 1164019162 · Geriatric Medicine (Internal Medicine) Physician · Great Falls, VA
Provider details
- NPI number
- 1164019162
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carol Martin, Physician(703) 947-7377
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
10017 Park Royal Dr
Great Falls, VA 22066-1847
Phone: (703) 947-7377
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 440
Great Falls, VA 22066-0440
Registry dates
- Enumerated
- 2020-12-23
- Last updated
- 2020-12-23
- Certified
- 2020-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.