| NPI | 1134275522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY BAPTIST WALSH Manager 276-634-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: VA 0101224431) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2008-09-03 |