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Organization

UVA COMMUNITY HEALTH MEDICAL GROUP, LLC

Active
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Organization

UVA COMMUNITY HEALTH MEDICAL GROUP, LLC

Active
Other names
UVA Health Bull Run Family Medicine Bristow
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES D CODER (CFO)
(804) 835-2069
Entity
Organization

Contact information

Practice address
10322 BRISTOW CENTER DR, BRISTOW, VA 20136-2201
(571) 284-4230
(703) 257-1495
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
09/14/2021
Last updated
09/26/2023
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