Organization
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC
Active
Other names
UVA Health Bull Run Family Medicine Manassas
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK D CODER (CFO)
(804) 835-2069
Entity
Organization
Contact information
Practice address
8640 SUDLEY RD, SUITE 203, MANASSAS, VA 20110-4420
(703) 368-3161
(703) 368-2498
Mailing address
PO BOX 748613, ATLANTA, GA 30384-8613
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/01/2010
Last updated
09/26/2023
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