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

Old Dominion Medical Center, PC

Organization Family Medicine Physician · NPI 1104990167

Old Dominion Medical Center, PC is a Family Medicine Physician 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.

See every abbreviation used in this directory →

Practice location Address checks out

6715 Whittier Ave Ste 100
McLean, VA 22101
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

Other providers in McLean