| NPI | 1275720559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE CLEMONS Vice President, Medical Director 434-654-5229 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery | |
| 208000000X Pediatrics | |
| 208M00000X Hospitalist | |
| 208200000X Plastic Surgery | |
| 208600000X Surgery | |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2022-09-29 |