| Uva Community Health Medical Group, Llc | |
|
8680 Hospital Way Manassas VA 20110-4287 | |
| (703) 369-8465 | |
| (703) 369-8467 |
| Full Name | Uva Community Health Medical Group, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 8680 Hospital Way, 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 8680 Hospital Way Manassas VA 20110-4287 Ph: (703) 369-8465 |
| NPI Number | 1518322668 |
|---|---|
| Provider Enumeration Date | 12/16/2015 |
| Last Update Date | 09/26/2023 |
| Certification Date | 09/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518322668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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