Healthcare Provider Details

I. General information

NPI: 1003853995
Provider Name (Legal Business Name): ANCHOR HEALTHCARE, PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 08/10/2022
Certification Date: 08/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 RIO EAST CT STE. A
CHARLOTTESVILLE VA
22901-8040
US

IV. Provider business mailing address

900 RIO EAST CT STE. A
CHARLOTTESVILLE VA
22901-8040
US

V. Phone/Fax

Practice location:
  • Phone: 434-975-7777
  • Fax: 434-975-7774
Mailing address:
  • Phone: 434-975-7777
  • Fax: 434-975-7774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: GENEVIEVE BLAIR
Title or Position: ADMINISTRATOR
Credential:
Phone: 434-975-7777