Individual
JEREMY P. MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1204 W MAIN ST, CHARLOTTESVILLE, VA 22903-2824
(434) 924-0123
(434) 243-3300
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101240894
VA
2080P0206X
Pediatric Gastroenterology Physician
Primary
0101240894
VA
Other
Enumeration date
01/16/2007
Last updated
08/10/2023
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