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Organization
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC
Active
Organization
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC
Active
Other names
UVA Health Bull Run Family Medicine Manassas
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK D CODER (CFO)
(804) 835-2069
Entity
Organization
Contact information
Practice address
8640 SUDLEY RD, SUITE 203, MANASSAS, VA 20110-4420
(703) 368-3161
(703) 368-2498
Mailing address
PO BOX 748613, ATLANTA, GA 30384-8613
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/01/2010
Last updated
09/26/2023
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