| Uva Community Health Medical Group, Llc | |
|
8644 Sudley Rd Ste 315 Manassas VA 20110-4425 | |
| (571) 284-1140 | |
| (571) 284-1149 |
| Full Name | Uva Community Health Medical Group, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 8644 Sudley Rd Ste 315, Manassas, Virginia |
| Authorized Official Name and Position | Charles D Coder (CFO) |
| Authorized Official Contact | 8048352069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uva Community Health Medical Group, Llc Po Box 748613 Atlanta GA 30384-8613 Ph: () - | Uva Community Health Medical Group, Llc 8644 Sudley Rd Ste 315 Manassas VA 20110-4425 Ph: (571) 284-1140 |
| NPI Number | 1215462817 |
|---|---|
| Provider Enumeration Date | 04/21/2017 |
| Last Update Date | 09/26/2023 |
| Certification Date | 09/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215462817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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