| NPI | 1114414299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN HALL-HARRIS Office Manager 804-304-6324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: VA 0024131004) |
| Enumeration Date | 2018-04-15 |
| Last Update Date | 2018-04-15 |