Organization
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC
Active
Other names
UVA Health Breast Surgery Haymarket
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES D. CODER (CFO)
(804) 835-2069
Entity
Organization
Contact information
Practice address
15195 HEATHCOTE BLVD STE 330, HAYMARKET, VA 20169-6244
(571) 284-3380
(571) 284-3389
Mailing address
PO BOX 748613, ATLANTA, GA 30384-8613
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
07/16/2013
Last updated
09/26/2023
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