| NPI | 1043267693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LERLA G JOSEPH President/Physician 804-230-4913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: VA 0101052550) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2023-07-09 |