| NPI | 1225430648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL W MEGGINSON Operations Manager 434-835-4876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: VA 0102201590) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0102201590) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2016-04-27 |