Organization
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC
Active
Other names
UVA Health Inpatient Neurology Prince William
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK D CODER (PROVIDER ENROLLMENT COORDINATOR)
(804) 835-2069
Entity
Organization
Contact information
Practice address
8700 SUDLEY RD, MANASSAS, VA 20110-4418
(703) 396-8580
Mailing address
PO BOX 936952, ATLANTA, GA 31193-6952
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
10/21/2016
Last updated
09/26/2023
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