| NPI | 1255751228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA BILLSTONE PEYTON Physician Owner 703-965-3168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101221501) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2014-04-17 |