NPI | 1114967593 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES MICHAEL CHILDRESS Physician 540-371-5700 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101032062) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2020-08-22 |