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Organization

ATLANTIC COAST ATHLETIC CLUBS OF VIRGINIA, INC

Active
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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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