Ch Va Collaborative Care Llc

NPI 1184025439 - Internal Medicine - 207R00000X

NPI Details
NPI 1184025439
Enumeration Date 09/05/2014
Last Updated 02/10/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MELISSA M MELISSA
Position CHIEF FINANCIAL OFFICER
Phone (571) 781-7001
Fax (888) 722-4282
Practice Location
4099 BASSWOOD RD
DISPUTANTA VA, 23842-4517, US
Phone (571) 781-7001
Fax (888) 722-4282
Business Location
4055 VALLEY VIEW LN
SUITE 400
DALLAS TX, 75244-5074, US
Phone (972) 715-3800
Fax (888) 722-4282
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, Ch Va Collaborative Care Llc NPI is 1184025439, taxonomy code is 207R00000X Ch Va Collaborative Care Llc physically located at 4099 Basswood Rd, Disputanta VA, 23842-4517. NPI Number 1033115704 has the healthcare provider type.

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1184025439 NPI number is provided on an as is basis without warranty of any kind. 1184025439 is maintained by the National Plan & Provider Enumeration System. The contents of Ch Va Collaborative Care Llc are for informational purposes only.