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1720086622
WILLIAM AVERY MIX
CHARLOTTESVILLE, VA
NPI
1720086622
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0101260244)
Enumeration Date
2005-07-13
Last Update Date
2019-04-18
Business Address
WILLIAM AVERY MIX MD
435 MERCHANT WALK SQ STE 400
CHARLOTTESVILLE, VA 22902-6516
Phone number: 434-654-1800
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Mailing Address
WILLIAM AVERY MIX MD
PO BOX 79777
BALTIMORE, MD 21279-0777
Phone number: 434-654-7794
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