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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 Haymarket
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK D CODER (CFO)
(804) 835-2069
Entity
Organization
Contact information
Practice address
15195 HEATHCOTE BLVD STE 140, HAYMARKET, VA 20169-6243
(571) 284-4370
(571) 284-4387
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
—
—
207RH0003X
Hematology & Oncology Physician
—
NULL
207RH0003X
Hematology & Oncology Physician
—
—
Other
Enumeration date
08/31/2021
Last updated
09/26/2023
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