| NPI | 1134745763 |
|---|---|
| Doing Business As | VIRGINIA CENTER FOR PREVENTATIVE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | WILLIAM STEWART CEO 704-995-1168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |