# PANTOPS FAMILY MEDICINE PLC

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

## Provider details

- **NPI number:** 1902889363
- **Authorized official:** WARREN C QUILLIAN M.D. (PARTNER)
- **Authorized official phone:** (434) 979-4440

## Contact information

- **Practice address:** 1490 PANTOPS MOUNTAIN PL, SUITE 200, CHARLOTTESVILLE, VA 22911-4601
- **Practice address phone:** (434) 979-4440
- **Practice address fax:** (434) 979-4441
- **Mailing address:** PO BOX 1583, CHARLOTTESVILLE, VA 22902-1583
- **Mailing address phone:** (434) 982-7794
- **Mailing address fax:** (434) 982-7752

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/21/2005
- **Last updated:** 11/06/2008