| NPI | 1275943508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MUMPER Chief Medical Officer 804-282-2655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-08 |