Organization
SILVERSAGE PHYSICIAN SERVICES OF VIRGINIA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN M. EVANS M.D. (PRESIDENT)
(423) 815-1600
Entity
Organization
Contact information
Practice address
1150 NORTHWEST DR, CHARLOTTESVILLE, VA 22901-2309
(434) 973-7933
Mailing address
PO BOX 23213, CHATTANOOGA, TN 37422-3213
(423) 815-1600
(423) 763-1118
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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