804 MED LLC

CHARLOTTESVILLE, VA
NPI1760223390
Entity TypeOrganization
Authorized ContactMATTHEW H THOMPSON
President/Owner
804-517-6853
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2024-06-06
Last Update Date2024-06-06
Business Address
804 MED LLC
515 RAY C HUNT DR
CHARLOTTESVILLE, VA 22903-2981
Phone number: 434-244-2000
Mailing Address
804 MED LLC
425 N ARTHUR ASHE BLVD APT 2
RICHMOND, VA 23220-3306
Phone number: 804-517-6853
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