Healthcare Provider Details
I. General information
NPI: 1790116309
Provider Name (Legal Business Name): ANCHOR HEALTHCARE, PLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/07/2013
Last Update Date: 08/10/2022
Certification Date: 08/10/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1490 PANTOPS MOUNTAIN PL SUITE 200
CHARLOTTESVILLE VA
22911-4601
US
IV. Provider business mailing address
1490 PANTOPS MOUNTAIN PL SUITE 200
CHARLOTTESVILLE VA
22911-4601
US
V. Phone/Fax
- Phone: 434-979-4440
- Fax: 434-979-4441
- Phone: 434-979-4440
- Fax: 434-979-4441
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
HAKAN
DAGLI
Title or Position: PARTNER
Credential: MD
Phone: 434-979-4440