Individual
DR. CAROLYN J DALLDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1490 PANTOPS MOUNTAIN PL STE 200, CHARLOTTESVILLE, VA 22911-4601
(434) 979-4440
Mailing address
1490 PANTOPS MOUNTAIN PL STE 200, CHARLOTTESVILLE, VA 22911-4601
(434) 979-4440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101053791
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207908
SOUTHERN HEALTH
VA
01
—
2124921
MAMSI
VA
01
—
230701
ANTHEM SVCS/HEALTHKEEPERS
VA
01
—
45314
COMMUNITY HEALTH
VA
01
—
4939578
CIGNA
VA
Enumeration date
05/25/2006
Last updated
04/07/2025
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