# RESILIENT ROOTS: FUNCTIONAL AND EVOLUTIONARY MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184244774
- **Authorized official:** DR. ROBERT ABBOTT MD (CEO, MEDICAL DIRECTOR)
- **Authorized official phone:** (757) 320-9383

## Contact information

- **Practice address:** 925 E JEFFERSON ST, CHARLOTTESVILLE, VA 22902-5572
- **Practice address phone:** (434) 218-3425
- **Practice address fax:** (434) 215-0727
- **Mailing address:** 925 E JEFFERSON ST, CHARLOTTESVILLE, VA 22902-5572
- **Mailing address phone:** (434) 218-3425
- **Mailing address fax:** (434) 215-0727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133N00000X | Nutritionist | — | NULL | — |
| 133N00000X | Nutritionist | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/23/2020
- **Last updated:** 04/23/2020