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Organization

804 MED LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW H THOMPSON MD (PRESIDENT/OWNER)
(804) 517-6853
Entity
Organization

Contact information

Practice address
515 RAY C HUNT DR, CHARLOTTESVILLE, VA 22903-2981
(434) 244-2000
Mailing address
425 N ARTHUR ASHE BLVD APT 2, RICHMOND, VA 23220-3306
(804) 517-6853

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
06/06/2024
Last updated
06/06/2024
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