Organization
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC
Active
Other names
UVA Health Pediatrics Manassas
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES D CODER (CFO)
(804) 835-2069
Entity
Organization
Contact information
Practice address
9430 FORESTWOOD LN STE 100, MANASSAS, VA 20110-4754
(703) 365-0227
Mailing address
PO BOX 748613, ATLANTA, GA 30384-8613
(844) 266-8268
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/09/2018
Last updated
09/26/2023
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