Provider First Line Business Practice Location Address:
LEE STREET, 4TH FLOOR
Provider Second Line Business Practice Location Address:
UVA PRIMARY CARE CENTER
Provider Business Practice Location Address City Name:
CHARLOTTESVILLE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22903
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
434-982-1700
Provider Business Practice Location Address Fax Number:
434-924-0075
Provider Enumeration Date:
02/28/2007