| NPI | 1053714816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY C GEORGE Owner 540-379-2707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: VA 0101239959) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |