| NPI | 1235801598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEANOR ALTMAN PRESCOTT Dir Payer Contract Administration 540-224-5516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2026-08-12 |