| NPI | 1104263268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL J. POLLOCK Owner 804-921-1164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0024146888) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-05-30 |