Organization
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC
Active
Other names
UVA Breast Surgery Manassas, UVA Health Breast Surgery Manassas
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES D CODER (CFO)
(804) 835-2069
Entity
Organization
Contact information
Practice address
9001 DIGGES RD STE 204, MANASSAS, VA 20110-4414
(703) 257-9234
(703) 257-1560
Mailing address
PO BOX 748613, ATLANTA, GA 30384-8613
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/15/2021
Last updated
09/26/2023
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