Organization
MONTICELLO COMMUNITY SURGERY CENTER, LLC
Active
Other names
UVA Health Surgical Care Riverside
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE WAGNER (ADMINISTRATOR)
(434) 971-3406
Entity
Organization
Contact information
Practice address
2331 SEMINOLE LANE, SUITE 201, CHARLOTTESVILLE, VA 22901-8319
(434) 293-4995
(434) 971-3434
Mailing address
2331 SEMINOLE LANE, SUITE 201, CHARLOTTESVILLE, VA 22901-8319
(434) 293-4995
(434) 971-3434
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
OH 662
VA
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/02/2006
Last updated
06/02/2023
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