| NPI | 1215040928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM KEVIN WATTERSON Managing Partner 804-897-6140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101052275) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101052275) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2011-07-15 |