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

TaxonomyCodeLicense
Nutritionist 133N00000XNone listed
General Practice Physician Primary 208D00000XNone 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.