| NPI | 1255756037 |
|---|---|
| Doing Business As | ALL MED AT CHANTILLY |
| Entity Type | Organization |
| Authorized Contact | JOSEPH HERROD CEO/Owner 334-323-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-03-03 |