| NPI | 1063016160 |
|---|---|
| Doing Business As | UVA DIABETES AND NUTRITION MANASSAS |
| Entity Type | Organization |
| Authorized Contact | SHALA DAVIS Rcs Manager 704-303-7517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2021-09-14 |