| 804 Med Llc | |
|
515 Ray C Hunt Dr Charlottesville VA 22903-2981 | |
| (434) 244-2000 | |
| Not Available |
| Full Name | 804 Med Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 515 Ray C Hunt Dr, Charlottesville, Virginia |
| Authorized Official Name and Position | Matthew H Thompson (PRESIDENT/OWNER) |
| Authorized Official Contact | 8045176853 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 804 Med Llc 425 N Arthur Ashe Blvd Apt 2 Richmond VA 23220-3306 Ph: (804) 517-6853 | 804 Med Llc 515 Ray C Hunt Dr Charlottesville VA 22903-2981 Ph: (434) 244-2000 |
| NPI Number | 1760223390 |
|---|---|
| Provider Enumeration Date | 06/06/2024 |
| Last Update Date | 06/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760223390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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