PRIMARY GERONTOLOGY CENTER LLC NPI 1215425384

NPI Information

PRIMARY GERONTOLOGY CENTER LLC is a geriatric medicine family medicine in Lake Ridge, VA. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. PRIMARY GERONTOLOGY CENTER LLC NPI is 1215425384. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4196 MERCHANT PLZ STE 348
LAKE RIDGE, VA
ZIP 22192-085
Phone: (571) 206-1650

The provider's authorized official is Jiho Choi .
The authorized official title is Owner/staff Physician and has the following contact phone number (571) 206-1650.

The enumeration date for this NPI number is 4/24/2018 and was last updated on 7/1/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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