| NPI | 1013411842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAITLYN ANNE BEISECKER-LEVIN Medical Director 434-962-6234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101246861) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |