Ch Va Collaborative Care LLC

NPI #1184025439 in Disputanta, Virginia

Provider Information

NPI Number: 1184025439
Entity Type: Organization
Organization Name: Ch Va Collaborative Care LLC
Primary Specialty: Internal Medicine
Enumeration Date: Sep 5, 2014
Last Updated: Feb 10, 2015

Practice Location

Address: 4099 BASSWOOD RD
City: Disputanta
State: Virginia
ZIP Code: 23842-4517
Phone: (571) 781-7001

Authorized Official

Name: MELISSA M COOKE
Title: CHIEF FINANCIAL OFFICER
Phone: (972) 715-3808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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