Organization
ATLANTIC COAST ATHLETIC CLUBS OF VIRGINIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD SIMPSON (VICE PRESIDENT-STRATEGIC INITIATIVE)
(434) 974-9890
Entity
Organization
Contact information
Practice address
500 ALBEMARLE SQ, CHARLOTTESVILLE, VA 22901-7405
(434) 978-3800
Mailing address
455 2ND ST SE STE 301, CHARLOTTESVILLE, VA 22902-5697
(434) 974-9890
(434) 974-9898
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2019
Last updated
06/29/2019
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