| Free Range Direct Primary Care, Pllc | |
|
4420 Ivy Commons Charlottesville VA 22903 | |
| (434) 337-5934 | |
| (434) 206-9595 |
| Full Name | Free Range Direct Primary Care, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4420 Ivy Commons, Charlottesville, Virginia |
| Authorized Official Name and Position | Matthew Brent Johnson (FAMILY PHYSICIAN/OWNER) |
| Authorized Official Contact | 4343375934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Free Range Direct Primary Care, Pllc 4420 Ivy Commons Charlottesville VA 22903 Ph: (434) 337-5934 | Free Range Direct Primary Care, Pllc 4420 Ivy Commons Charlottesville VA 22903 Ph: (434) 337-5934 |
| NPI Number | 1336975382 |
|---|---|
| Provider Enumeration Date | 09/09/2024 |
| Last Update Date | 09/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336975382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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