Organization
GAVIN CONNOR, L.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAVIN CONNOR L.P.C. (SOLE PROPRIETOR)
(434) 249-0230
Entity
Organization
Contact information
Practice address
700 HARRIS ST STE 106, CHARLOTTESVILLE, VA 22903-4584
(434) 249-0230
Mailing address
700 HARRIS ST STE 106, CHARLOTTESVILLE, VA 22903-4584
(434) 249-0230
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0701005444
VA
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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