| Uva Community Health Medical Group, Llc | |
|
15225 Heathcote Blvd Haymarket VA 20169-6264 | |
| (703) 396-5292 | |
| (703) 396-5297 |
| Full Name | Uva Community Health Medical Group, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 15225 Heathcote Blvd, Haymarket, Virginia |
| Authorized Official Name and Position | Chuck 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 15225 Heathcote Blvd Haymarket VA 20169-6264 Ph: (703) 396-5292 |
| NPI Number | 1407211451 |
|---|---|
| Provider Enumeration Date | 12/17/2015 |
| Last Update Date | 09/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407211451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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