| NPI | 1124255914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL L TAYLOR Owner/Physician 804-423-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: VA 0101045480) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2010-10-26 |