Healthcare Provider Details

I. General information

NPI: 1023138773
Provider Name (Legal Business Name): SEVEN CORNERS MEDICAL CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 02/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6045 ARLINGTON BLVD
FALLS CHURCH VA
22044-2721
US

IV. Provider business mailing address

6045 ARLINGTON BLVD
FALLS CHURCH VA
22044-2721
US

V. Phone/Fax

Practice location:
  • Phone: 703-237-7900
  • Fax: 703-237-0821
Mailing address:
  • Phone: 703-237-7900
  • Fax: 703-237-0821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. ANU R GEORGE
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 703-237-7900