Active NPI 1891758140 Individual Practitioner Male Practitioner

Dr. Jeffrey Dean Davis , MD

Internal Medicine • Charlottesville, VA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Davis, MD is a certified Internal Medicine practicing in Charlottesville, VA. With approximately 35 years of clinical experience since graduating from University Of Virginia School Of Medicine in 1991, Dr. Davis delivers high-quality medical care to the local community at 1011 EAST JEFFERSON ST.

Dr. Davis maintains professional affiliations with Martha Jefferson Medical Group Llc, Select Physical Therapy Holdings Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1011 East Jefferson St
Ste 202

Charlottesville, VA 229025354

Telephone 4349777950

Fax 4342954470

Associated Practice Facility / Clinic

🏢 Internal Medicine Ltd Facility NPI 1629176821

Medicare Profile & Education

Medical School

University Of Virginia School Of Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Charlottesville, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +14.1 yrs vs City Avg

City Avg: 20.9 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

149 Specialists

Practicing in Charlottesville, VA (3758 Statewide)

Telehealth Adoption Rate

35.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

45.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Davis (35 Years) 35 Yrs

Charlottesville Specialty Average (20.9 Years) 20.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	863	517	$249.52	$128.76
36415 Insertion of needle into vein for collection of blood sample	609	418	$9.00	$8.62
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	487	487	$253.40	$132.41
99213 Established patient office or other outpatient visit, typically 15 minutes	381	274	$174.61	$91.31
93793 Anticoagulant management of patient taking warfarin	195	14	$22.12	$11.45
85610 Blood test, clotting time	186	16	$9.00	$4.20
G0008 Administration of influenza virus vaccine	126	124	$40.00	$31.16
90653 Vaccine for influenza for injection into muscle	117	117	$76.00	$73.21
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	113	12	$44.00	$14.46
93000 Routine ekg using at least 12 leads including interpretation and report	110	107	$42.00	$14.40
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	76	76	$578.00	$291.60
G0009 Administration of pneumococcal vaccine	76	76	$38.00	$31.41
99495 Transitional care management services for problem of at least moderate complexity	36	32	$401.69	$209.49
81003 Automated urinalysis test	30	25	$5.00	$2.20
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$323.88	$168.30
91320 Sarscv2 vac 30mcg trs-suc im	14	14	$263.00	$152.78
90480 Admn sarscov2 vacc 1 dose	14	14	$42.00	$41.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$350.92	$181.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	733	458	$244.16	$126.57
36415 Insertion of needle into vein for collection of blood sample	666	445	$8.17	$7.70
99213 Established patient office or other outpatient visit, typically 15 minutes	486	355	$168.21	$89.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	446	446	$293.59	$128.89
93793 Anticoagulant management of patient taking warfarin	142	13	$23.58	$11.43
G0008 Administration of influenza virus vaccine	121	121	$39.97	$29.90
93000 Routine ekg using at least 12 leads including interpretation and report	117	114	$42.65	$14.40
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	116	116	$143.81	$75.06
85610 Blood test, clotting time	112	11	$9.66	$4.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	98	11	$43.72	$14.11
99495 Transitional care management services for problem of at least moderate complexity	39	35	$388.46	$199.36
90471 Administration of 1 vaccine	35	35	$39.69	$20.17
81003 Automated urinalysis test	24	18	$6.00	$2.20
G0009 Administration of pneumococcal vaccine	20	20	$38.00	$30.15
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	20	20	$558.50	$281.68
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	18	$112.00	$52.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$320.56	$178.27
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$335.00	$165.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	646	442	$150.00	$90.76
36415 Insertion of needle into vein for collection of blood sample	629	420	$6.00	$2.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	577	340	$219.00	$128.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	372	372	$385.00	$131.53
G0008 Administration of influenza virus vaccine	168	167	$38.00	$29.35
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	164	163	$71.57	$66.82
85610 Blood test, clotting time	101	13	$11.00	$4.23
93000 Routine ekg using at least 12 leads including interpretation and report	98	98	$44.00	$14.32
93793 Anticoagulant management of patient taking warfarin	98	13	$25.00	$11.36
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	79	13	$43.00	$14.16
G0009 Administration of pneumococcal vaccine	46	46	$38.00	$29.66
99495 Transitional care management services for problem of at least moderate complexity	44	43	$330.00	$208.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	34	$91.00	$56.51
90471 Administration of 1 vaccine	31	31	$39.00	$16.92
81003 Automated urinalysis test	28	25	$7.00	$2.22
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	25	23	$123.00	$53.49
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	25	25	$530.00	$279.07
99442 Telephone medical discussion with physician, 11-20 minutes	18	18	$150.00	$91.03
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$229.00	$133.28
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$293.00	$182.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	786	472	$6.00	$3.00
99213 Established patient office or other outpatient visit, typically 15 minutes	753	462	$150.00	$91.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	534	334	$219.00	$130.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	357	357	$385.00	$133.48
G0008 Administration of influenza virus vaccine	129	129	$38.00	$16.88
93000 Routine ekg using at least 12 leads including interpretation and report	123	118	$44.00	$14.99
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	123	123	$68.00	$66.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	90	14	$43.00	$14.32
93793 Anticoagulant management of patient taking warfarin	63	17	$25.00	$11.54
85610 Blood test, clotting time	56	14	$11.00	$4.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	54	$91.00	$56.94
0011A Adm sarscov2 100mcg/0.5ml1st	51	51	$20.00	$16.74
G0009 Administration of pneumococcal vaccine	46	46	$38.00	$17.03
81003 Automated urinalysis test	35	30	$7.00	$2.20
99495 Transitional care management services for problem of at least moderate complexity	29	28	$330.00	$208.53
90471 Administration of 1 vaccine	28	28	$39.00	$17.11
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	24	$229.00	$125.17
90670 Pneumococcal vaccine for injection into muscle	22	22	$431.00	$240.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$331.00	$169.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$293.00	$183.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	699	453	$6.00	$2.98
99213 Established patient office or other outpatient visit, typically 15 minutes	686	435	$149.11	$74.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	476	302	$218.50	$108.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	248	248	$383.79	$115.93
G0008 Administration of influenza virus vaccine	220	217	$38.00	$16.60
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	189	189	$68.00	$60.41
93000 Routine ekg using at least 12 leads including interpretation and report	112	109	$44.00	$17.13
85610 Blood test, clotting time	84	16	$11.00	$4.23
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	81	11	$43.00	$14.28
99442 Telephone medical discussion with physician, 11-20 minutes	72	61	$148.61	$74.78
G0009 Administration of pneumococcal vaccine	59	59	$38.00	$16.71
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	50	12	$46.00	$23.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	42	$89.00	$44.35
81003 Automated urinalysis test	35	30	$7.00	$2.23
90670 Pneumococcal vaccine for injection into muscle	33	33	$431.00	$226.54
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	27	26	$39.00	$19.55
90471 Administration of 1 vaccine	27	27	$39.00	$14.30
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	26	26	$229.00	$119.31
99443 Telephone medical discussion with physician, 21-30 minutes	26	23	$213.38	$107.57
99495 Transitional care management services for problem of at least moderate complexity	20	18	$330.00	$186.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$331.00	$165.47
99441 Telephone medical discussion with physician, 5-10 minutes	15	15	$85.40	$45.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$213.43	$105.81
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$385.00	$166.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	807	477	$6.58	$2.92
99213 Established patient office or other outpatient visit, typically 15 minutes	806	463	$142.79	$74.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	552	350	$210.22	$108.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	236	236	$376.32	$116.85
G0008 Administration of influenza virus vaccine	200	200	$49.88	$16.42
90653 Vaccine for influenza for injection into muscle	194	194	$100.00	$58.04
93000 Routine ekg using at least 12 leads including interpretation and report	158	150	$52.09	$17.07
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	133	20	$52.46	$16.74
85610 Blood test, clotting time	90	19	$16.00	$4.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	65	$86.75	$45.21
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	66	36	$39.59	$22.78
81003 Automated urinalysis test	56	47	$14.00	$2.44
90471 Administration of 1 vaccine	54	54	$48.37	$16.74
G0009 Administration of pneumococcal vaccine	54	54	$49.07	$16.42
G0444 Annual depression screening, 5 to 15 minutes	48	48	$34.54	$18.16
90670 Pneumococcal vaccine for injection into muscle	37	37	$346.00	$209.40
90472 Administration of vaccine, each additional vaccine	27	27	$31.70	$12.82
80053 Blood test, comprehensive group of blood chemicals	22	22	$32.00	$11.51
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	20	20	$25.00	$8.46
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$385.00	$167.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$208.89	$108.65
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$158.89	$110.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$288.00	$146.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	1,143	543	$13.00	$2.93
99213 Established patient office or other outpatient visit, typically 15 minutes	839	486	$110.00	$72.88
80053 Blood test, comprehensive group of blood chemicals	549	390	$32.00	$12.76
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	519	393	$25.00	$9.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	491	304	$160.00	$107.22
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	385	143	$39.00	$21.68
80061 Blood test, lipids (cholesterol and triglycerides)	289	276	$51.00	$16.20
81002 Urinalysis, manual test	279	251	$11.00	$3.41
G0008 Administration of influenza virus vaccine	268	263	$25.03	$20.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	233	233	$129.75	$119.69
G0444 Annual depression screening, 5 to 15 minutes	213	213	$22.00	$18.43
84443 Blood test, thyroid stimulating hormone (TSH)	198	181	$69.00	$20.33
83036 Hemoglobin A1C level	198	137	$48.00	$11.75
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	150	27	$44.00	$20.65
93000 Routine ekg using at least 12 leads including interpretation and report	138	131	$54.86	$16.93
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	131	128	$31.00	$17.48
90653 Vaccine for influenza for injection into muscle	123	123	$60.00	$53.58
82306 Vitamin d-3 level	122	121	$60.00	$35.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	110	103	$70.00	$44.03
G0103 Prostate cancer screening; prostate specific antigen test (psa)	77	77	$60.00	$22.26
G0009 Administration of pneumococcal vaccine	64	64	$25.00	$20.24
90670 Pneumococcal vaccine for injection into muscle	34	34	$219.71	$196.67
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	31	31	$98.48	$95.66
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	23	23	$15.00	$4.29
90471 Administration of 1 vaccine	23	23	$28.00	$20.52
84153 Psa (prostate specific antigen) measurement, total	16	16	$65.63	$22.26
90662 Influenza vaccine split virus, preservative free	15	15	$60.00	$52.30
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$129.00	$134.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	1,177	534	$13.00	$2.92
99213 Established patient office or other outpatient visit, typically 15 minutes	831	472	$110.00	$71.71
80053 Blood test, comprehensive group of blood chemicals	737	474	$32.00	$12.20
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	645	451	$25.00	$10.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	524	327	$160.00	$105.04
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	391	153	$39.00	$19.93
80061 Blood test, lipids (cholesterol and triglycerides)	337	322	$51.00	$15.54
81002 Urinalysis, manual test	309	275	$11.00	$3.42
G0008 Administration of influenza virus vaccine	273	267	$25.00	$24.50
83036 Hemoglobin A1C level	241	148	$48.00	$13.05
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	217	217	$31.00	$17.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	214	214	$129.41	$114.00
G0444 Annual depression screening, 5 to 15 minutes	206	206	$22.00	$17.72
84443 Blood test, thyroid stimulating hormone (TSH)	191	162	$69.00	$22.59
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	163	32	$44.00	$25.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	126	118	$70.00	$43.13
93000 Routine ekg using at least 12 leads including interpretation and report	114	112	$55.00	$16.77
G0103 Prostate cancer screening; prostate specific antigen test (psa)	113	113	$60.00	$24.73
G0009 Administration of pneumococcal vaccine	72	72	$25.00	$24.50
82306 Vitamin d-3 level	67	67	$60.00	$39.80
90670 Pneumococcal vaccine for injection into muscle	61	61	$180.00	$176.40
90653 Vaccine for influenza for injection into muscle	44	44	$60.00	$49.22
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	40	30	$15.00	$4.77
90471 Administration of 1 vaccine	29	29	$28.00	$24.30
84153 Psa (prostate specific antigen) measurement, total	23	23	$66.00	$24.73
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$133.60	$128.89
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	14	14	$31.00	$14.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$160.00	$106.59
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$86.00	$84.28

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License VA 0101050714

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

006009395 (VA)

Commercial Insurance / Payer ID Bcbs

020359 (VA)

Hospital & Practice Group Affiliations

Martha Jefferson Medical Group Llc

1646 Park Ridge Dr, Crozet, VA 229323155

Phone: 4346542760

Martha Jefferson Medical Group Llc

1646 Park Ridge Dr, Crozet, VA 229323155

Phone: 4346545575

Select Physical Therapy Holdings Inc

250 Merchant Walk Sq, Charlottesville, VA 229026511

Phone: 4343284900

Martha Jefferson Medical Group Llc

590 Peter Jefferson Pkwy, Charlottesville, VA 229114628

Phone: 4346548930

Martha Jefferson Medical Group Llc

140 Stoneridge Dr S, Ruckersville, VA 229683096

Phone: 4346541850

Martha Jefferson Medical Group Llc

2250 Ivy Rd, Charlottesville, VA 229034977

Phone: 4346543710

Secondary Practice Locations

1011 E Jefferson St Ste 202

Charlottesville, VA 229025354

Phone: 4346542800

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Gregory Doull , MD

Internal Medicine

NPI 1114980737

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active June 17, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location June 17, 2010

Registered at 1011 EAST JEFFERSON ST, STE 202, CHARLOTTESVILLE, VA 229025354 (Tel: 4349777950)

📍

Updated Business Mailing Address June 17, 2010

Registered at 1011 EAST JEFFERSON ST, STE 202, CHARLOTTESVILLE, VA 229025354 (Tel: 4349777950)

👤

Provider Name / Credentials Updated June 17, 2010

Recorded as JEFFREY DAVIS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2010

Internal Medicine (License #0101050714 in VA)

🟢

Initial NPI Registration & Enumeration April 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891758140

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 08, 2006

Last Update: December 18, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1011 East Jefferson St, Ste 202

Charlottesville, VA 229025354

Phone: 4349777950

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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