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Organization
RESILIENT ROOTS: FUNCTIONAL AND EVOLUTIONARY MEDICINE
Active
Organization
RESILIENT ROOTS: FUNCTIONAL AND EVOLUTIONARY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ABBOTT MD (CEO, MEDICAL DIRECTOR)
(757) 320-9383
Entity
Organization
Contact information
Practice address
925 E JEFFERSON ST, CHARLOTTESVILLE, VA 22902-5572
(434) 218-3425
(434) 215-0727
Mailing address
925 E JEFFERSON ST, CHARLOTTESVILLE, VA 22902-5572
(434) 218-3425
(434) 215-0727
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
NULL
133N00000X
Nutritionist
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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