OrganizationActive
804 Med LLC
NPI 1760223390 · Internal Medicine Physician · Charlottesville, VA
Provider details
- NPI number
- 1760223390
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Matthew Thompson, President/Owner(804) 517-6853
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
515 Ray C Hunt Dr
Charlottesville, VA 22903-2981
Phone: (434) 244-2000
Approximate (ZIP-level) locationGet directions
Mailing address
425 N Arthur Ashe Blvd Apt 2
Richmond, VA 23220-3306
Registry dates
- Enumerated
- 2024-06-06
- Last updated
- 2024-06-06
- Certified
- 2024-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.