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Organization
WILLIAM R DANDRIDGE JR MD
Active
Organization
WILLIAM R DANDRIDGE JR MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ROBERT DANDRIDGE JR. MD (OWNER)
(434) 977-6622
Entity
Organization
Contact information
Practice address
1149 ROSE HILL DR, CHARLOTTESVILLE, VA 22903
(434) 977-6622
(434) 977-9808
Mailing address
1149 ROSE HILL DR, CHARLOTTESVILLE, VA 22903
(434) 977-6622
(434) 977-9808
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101021049
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG0893
MEDICARE PIN
VA
Enumeration date
04/09/2007
Last updated
11/01/2011
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