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

Mid- Atlantic Medical Group LLC

Organization Specialist · NPI 1407143910

Mid- Atlantic Medical Group LLC is a Specialist in Arlington, Virginia. Licensed in Virginia. Registered with an NPI since 2011.

Licensed in
VA
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3301 Wilson Blvd
Arlington, VA 22201-2228
Phone: (703) 276-7798
Fax: (703) 243-7503
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 0101038151 (VA)

Record details

NPI number1407143910
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Holman — Medical Director · (703) 901-6299
NPI enumeratedJuly 5, 2011
Last updated in NPPESJanuary 11, 2012
Mailing address3301 Wilson Blvd, Arlington, VA 22201-2228

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