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Organization

JEFFERSON OB GYN LTD

Active
Parent organization
JEFFERSON OBSTETRICS & GYNECOLOGY, LTD.
Organization subpart
Yes

Provider details

NPI number
Legal business name
JEFFERSON OBSTETRICS & GYNECOLOGY, LTD.
Authorized official
ADRIENNE CANTERBURY MHA (ADMINISTRATOR)
(434) 977-4091
Entity
Organization

Contact information

Practice address
600 PETER JEFFERSON PKWY STE 290, CHARLOTTESVILLE, VA 22911-8835
(434) 977-4091
Mailing address
600 PETER JEFFERSON PKWY STE 290, CHARLOTTESVILLE, VA 22911-8835
(434) 977-4091

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
06/08/2021
Last updated
06/08/2021
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