DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PRIME WELLNESS CLINIC LLC

Active Organization

PRIME WELLNESS CLINIC LLC is a Primary Care Clinic organization located in WOODBRIDGE, Virginia. NPI 1154661395 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · WOODBRIDGE, VA

Registration Details

NPI Number
1154661395
Provider Type
Organization
NPI Issued
Feb 25, 2013 (13.492011363225 yrs)
Last Updated
Sep 14, 2017
License
0101245731 (VA)

Practice Information

Address
14904 JEFFERSON DAVIS HWY
SUITE 305
WOODBRIDGE, VA, 221913908
Browse VA providers · Browse ZIP 22191
Phone
5714927702
Fax
5714927704
Primary Specialty
Primary Care Clinic
261QP2300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.