| Novant Health Uva Health System Bristow Run Family Medicine | |
|
14540 John Marshall Hwy Suite 104 Gainesville VA 20155-1691 | |
| (703) 753-9799 | |
| (703) 753-9792 |
| Full Name | Novant Health Uva Health System Bristow Run Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 14540 John Marshall Hwy, Gainesville, Virginia |
| Authorized Official Name and Position | Geoffrey Gardner (VP OF FINANCE) |
| Authorized Official Contact | 7037539799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Novant Health Uva Health System Bristow Run Family Medicine Po Box 60447 Charlotte NC 28260-0447 Ph: (703) 753-9799 | Novant Health Uva Health System Bristow Run Family Medicine 14540 John Marshall Hwy Suite 104 Gainesville VA 20155-1691 Ph: (703) 753-9799 |
| NPI Number | 1295169605 |
|---|---|
| Provider Enumeration Date | 08/22/2013 |
| Last Update Date | 04/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295169605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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