Organization
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC
Active
Other names
UVA Health Inpatient Medicine Prince William
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK D CODER (CFO)
(804) 835-2069
Entity
Organization
Contact information
Practice address
8700 SUDLEY RD, MANASSAS, VA 20110-4418
(703) 396-5292
(703) 396-5297
Mailing address
PO BOX 748613, ATLANTA, GA 30384-8613
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/17/2015
Last updated
09/26/2023
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