| NPI | 1063128213 |
|---|---|
| Other Name | VILLAGE MEDICAL - VIRGINIA VILLAGE |
| Entity Type | Organization |
| Authorized Contact | KRISTI I LEE Director Of Revenue 904-844-2271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-01-30 |