| NPI | 1083000145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUHA SABOUNI Partner/ President 540-819-1878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| 207V00000X Obstetrics & Gynecology | |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine | |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2015-04-15 |