# UVA COMMUNITY HEALTH MEDICAL GROUP, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** UVA Health Obstetrics and Gynecology Manassas
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699179333
- **Authorized official:** CHARLES D CODER (CFO)
- **Authorized official phone:** (804) 835-2069

## Contact information

- **Practice address:** 8640 SUDLEY ROAD, SUITE 303, MANASSAS, VA 20110-4404
- **Practice address phone:** (571) 261-3529
- **Practice address fax:** (703) 361-1811
- **Mailing address:** PO BOX 748613, ATLANTA, GA 30384-8613

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/09/2014
- **Last updated:** 09/26/2023