MEDICARE: VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083P0011X	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
2	207RI0200X	Infectious Disease Physician

General Provider Information

NPI Number	:	1083056964
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP, LLC

Provider Business Mailing Address
First Line	:	1701 N GEORGE MASON DR
Second Line	:	WOUND CARE SUITE G200
City	:	ARLINGTON
State	:	VA
Zip	:	22205-3610
Country	:	US
Telephone Number	:	703-558-6600
Fax Number	:	703-558-6625

Provider Business Practice Location Address
First Line	:	1701 N GEORGE MASON DR
Second Line	:	WOUND CARE SUITE G200
City	:	ARLINGTON
State	:	VA
Zip	:	22205-3610
Country	:	US
Telephone Number	:	703-558-6600
Fax Number	:	703-558-6625

Authorized Official
Title or Position	:	SYS. AVP MANAGED CARE/CONTRACTING
Name	:	BRENDA BABBITT
Credential	:
Telephone Number	:	703-558-5590

Provider Enumeration Date	:	07/22/2013
Last Update Date	:	01/19/2026

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