Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dominion Medical Center, LLC

Organization Internal Medicine Physician · NPI 1114109261

Dominion Medical Center, LLC is an Internal Medicine Physician in King George, Virginia. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

11463 Ridge Rd
King George, VA 22485-4078
Phone: (301) 870-3540
Fax: (301) 392-1726
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1114109261
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maryann Ayers — Administrator · (301) 870-3540
NPI enumeratedNovember 30, 2007
Last updated in NPPESMarch 17, 2008
Mailing address11463 Ridge Rd, P.O. Box 999, King George, VA 22485-4078