Uva Diabetes And Nutrition Manassas | |
8644 Sudley Rd Ste 315 Manassas VA 20110-4425 | |
(703) 369-8405 | |
(703) 369-8533 |
Full Name | Uva Diabetes And Nutrition Manassas |
---|---|
Speciality | Internal Medicine |
Location | 8644 Sudley Rd Ste 315, Manassas, Virginia |
Authorized Official Name and Position | Shala Davis (RCS MANAGER) |
Authorized Official Contact | 7043037517 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Uva Diabetes And Nutrition Manassas Po Box 936952 Atlanta GA 31193-6952 Ph: () - | Uva Diabetes And Nutrition Manassas 8644 Sudley Rd Ste 315 Manassas VA 20110-4425 Ph: (703) 369-8405 |
NPI Number | 1063016160 |
---|---|
Provider Enumeration Date | 11/30/2020 |
Last Update Date | 09/14/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063016160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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