| NPI | 1225514136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN C LAWSON Office Manager 540-247-8476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0102202773) |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-13 |