Individual
MOHAMMED N. OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
LEE ST, CHARLOTTESVILLE, VA 22908-0001
(434) 924-0000
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101058552
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005635039
—
VA
Enumeration date
11/07/2006
Last updated
12/18/2008
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