| NPI | 1255409371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DAVID MUMPER Medical Director 804-282-2655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2015-04-15 |