NPI | 1154726123 |
---|---|
Entity Type | Organization |
Authorized Contact | MAKINI SHANI GARRETT AINSWORTH CEO, Internal Medicine Physician 540-645-6400 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: VA 0101238953) |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2014-11-03 |
Last Update Date | 2019-11-20 |