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NPI 1396933107 · Medical Specialty Clinic/Center · Ashburn, VA
Provider details
- NPI number
- 1396933107
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gordon Culp, President(703) 729-8393
- License
- 0618000034 (VA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
44345 Premier Plz
Suite # 100
Ashburn, VA 20147-5053
Phone: (703) 729-8393
Fax: (703) 729-8394
Approximate (ZIP-level) locationGet directions
Mailing address
44345 Premier Plz
Ashburn, VA 20147-5053
Registry dates
- Enumerated
- 2007-10-05
- Last updated
- 2008-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.