Organization
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC
Active
Organization
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC
Active
Other names
UVA Health Behavioral Health Prince William
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES D. CODER (CFO)
(804) 835-2069
Entity
Organization
Contact information
Practice address
8680 HOSPITAL WAY, MANASSAS, VA 20110-4287
(703) 369-8465
(703) 369-8467
Mailing address
PO BOX 748613, ATLANTA, GA 30384-8613
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/16/2015
Last updated
09/26/2023
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