Organization
VA COMMUNITY HEALTH MEDICAL GROUP, LLC
Active
Other names
UVA Health Family Medicine Gainesville
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK D. CODER (CFO)
(804) 835-2069
Entity
Organization
Contact information
Practice address
8180 STONEWALL SHOPS SQ, GAINESVILLE, VA 20155
(703) 753-9799
(703) 753-9792
Mailing address
PO BOX 748613, ATLANTA, GA 30384-8613
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/05/2017
Last updated
09/26/2023
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