| NPI | 1205810264 |
|---|---|
| Other Name | MAIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHERRY ROBERTSON Credentialing Coordinator 540-772-3671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2020-08-22 |