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

PRIMARY GERONTOLOGY CENTER LLC

Active Organization

PRIMARY GERONTOLOGY CENTER LLC is a Geriatric Medicine organization located in LAKE RIDGE, Virginia. NPI 1215425384 is currently active in the NPPES registry. Verify at CMS.

Geriatric Medicine · LAKE RIDGE, VA

Registration Details

NPI Number
1215425384
Provider Type
Organization
NPI Issued
Apr 24, 2018 (8.3441372061036 yrs)
Last Updated
Jul 1, 2020

Practice Information

Address
4196 MERCHANT PLZ STE 348
LAKE RIDGE, VA, 221925085
Browse VA providers · Browse ZIP 22192
Phone
5712061650
Primary Specialty
Geriatric Medicine
207QG0300X
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.