| NPI | 1285375931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ONALA TELFORD Owner 434-249-2504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2022-07-25 |