CHANTILLY WALK-IN CLINIC is a clinic center in Fairfax, VA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CHANTILLY WALK-IN CLINIC NPI is 1972509735. The provider is registered as an organization entity type.
The provider's business location address is:
13037 LEE JACKSON HWY
STE D
FAIRFAX, VA
ZIP 22033-004
Phone: (703) 631-0791
Fax: (703) 968-4227
The provider's authorized official is Samir Nazam .
The authorized official title is Physician and has the following contact phone number (703) 631-0791.
The CLIA number assigned to this NPI record is 49D0860180 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/24/2005 and was last updated on 8/22/2020.