Organization · Type 2 NPI
Resilient Roots: Functional and Evolutionary Medicine
General Practice Physician · Charlottesville, VA
NPI number
1184244774
Active
Practice location
925 E Jefferson St
Charlottesville, VA 22902-5572
Fax (434) 215-0727
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutritionist | 133N00000X | None listed |
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1184244774
Resilient Roots: Functional and Evolutionary Medicine's National Provider Identifier is 1184244774, issued on Apr 23, 2020. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Charlottesville, VA. The record was last updated on Apr 23, 2020.