| NPI | 1013525278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA PARNELL Regional Director Of Practice Manag 804-256-8205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |