| 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 |