| Uva Community Health Medical Group, Llc | |
|
8700 Sudley Rd Manassas VA 20110-4418 | |
| (703) 396-8580 | |
| Not Available |
| Full Name | Uva Community Health Medical Group, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 8700 Sudley Rd, Manassas, Virginia |
| Authorized Official Name and Position | Chuck D Coder (PROVIDER ENROLLMENT COORDINATOR) |
| 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 936952 Atlanta GA 31193-6952 Ph: () - | Uva Community Health Medical Group, Llc 8700 Sudley Rd Manassas VA 20110-4418 Ph: (703) 396-8580 |
| NPI Number | 1285185538 |
|---|---|
| Provider Enumeration Date | 10/21/2016 |
| Last Update Date | 09/26/2023 |
| Certification Date | 09/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285185538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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