804 Med LLC
NPI #1760223390 in Charlottesville, Virginia
Provider Information
- NPI Number
- 1760223390
- Entity Type
- Organization
- Organization Name
- 804 Med LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jun 6, 2024
- Last Updated
- Jun 6, 2024
Practice Location
- Address
- 515 RAY C HUNT DR
- City
- Charlottesville
- State
- Virginia
- ZIP Code
- 22903-2981
- Phone
- (434) 244-2000
Authorized Official
- Name
- MATTHEW H THOMPSON, MD
- Title
- PRESIDENT/OWNER
- Phone
- (804) 517-6853
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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