Individual
JASON ALEXANDER SHUGOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
630 PETER JEFFERSON PKWY STE 130, CHARLOTTESVILLE, VA 22911-4624
(434) 201-2155
Mailing address
1215 LEE ST, MAIL STOP 801210, CHARLOTTESVILLE, VA 22908-0816
(434) 924-5314
(434) 243-4743
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101280026
VA
Other
Enumeration date
03/28/2021
Last updated
08/01/2025
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