Provider First Line Business Practice Location Address:
135 HOSPITAL DRIVE COBB HL RM 1031E
Provider Second Line Business Practice Location Address:
UVA , DEPARTMENT OF MEDICINE
Provider Business Practice Location Address City Name:
CHARLOTTESVILLE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22908-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
434-924-2408
Provider Business Practice Location Address Fax Number:
434-243-0399
Provider Enumeration Date:
08/26/2016