| NPI | 1073537676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY L HALLORAN Practice Administrator 434-654-8520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2021-04-28 |