Organization
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC
Active
Parent organization
NMG AFFILIATE PRACTICE I, LLC
Other names
UVA Health Surgical Care Haymarket
Organization subpart
Yes
Provider details
NPI number
Legal business name
NMG AFFILIATE PRACTICE I, LLC
Authorized official
CHARLES D CODER (CFO)
(504) 835-2069
Entity
Organization
Contact information
Practice address
15195 HEATHCOTE BLVD STE 350, HAYMARKET, VA 20169-6244
(571) 284-3440
(571) 284-3456
Mailing address
PO BOX 936952, ATLANTA, GA 31193-6952
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
06/14/2019
Last updated
09/26/2023
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