| NPI | 1083731194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBYE D WASHINGTON MOORE President 804-323-3051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101053243) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |