| NPI | 1205240231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAKKRIS SIRI Owner 804-526-7229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101031880) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |