| NPI | 1003275124 |
|---|---|
| Doing Business As | FOUNDATION MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JAMES BUNTON Owner 804-506-0526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2023-06-25 |