Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Old Dominion Medical Center, PC

Organization Family Medicine Physician · NPI 1104990167

Old Dominion Medical Center, PC provides Family Medicine Physician services in McLean, Virginia. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6715 Whittier Ave Ste 100
McLean, VA 22101 Not confirmed with CMS for 10 years — call before visiting
Phone: (703) 356-5700
Fax: (703) 448-8211
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1104990167
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Allen Horne — Physician Owner · (703) 356-5700
NPI enumeratedNovember 20, 2006
Last updated in NPPESFebruary 4, 2016
Mailing address6715 Whittier Avenue, Suite 100, McLean, VA 22101

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