OrganizationActive
American Institute for Diseases of the Prostate, PLC
NPI 1497887350 · Specialist · Earlysville, VA
Provider details
- NPI number
- 1497887350
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Charles Myers, Director(434) 964-0212
- License
- 0101050527 (VA)
Specialties & taxonomies
Other Service Providers
Practice location
690 Bent Oaks Dr
Earlysville, VA 22936
Phone: (434) 964-0212
Fax: (434) 964-0216
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 195
Earlysville, VA 22936-0195
Registry dates
- Enumerated
- 2007-03-09
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.