| NPI | 1104347103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS A STEWART Sole Member 434-296-9596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2022-07-21 |