| NPI | 1205258829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM C WARD President 540-309-5769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: VA 0101024791) |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2014-01-16 |