Organization
CHARLOTTESVILLE GASTROENTEROLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BYRD STUART LEAVELL JR. MD (OWNER)
(434) 817-8484
Entity
Organization
Contact information
Practice address
1139 E HIGH ST, SUITE 203, CHARLOTTESVILLE, VA 22902-4856
(434) 817-8484
(434) 817-8490
Mailing address
1139 E HIGH ST, SUITE 203, CHARLOTTESVILLE, VA 22902-4856
(434) 817-8484
(434) 817-8490
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2953
VA
Other
Enumeration date
07/07/2005
Last updated
03/27/2008
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