| NPI | 1275175705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC HILL Authorized Official 434-797-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2022-09-29 |