| NPI | 1043309313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER B DWYER Owner 540-465-3235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2016-05-16 |