| NPI | 1285719823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY C MCCOIG Practice Administrator 540-862-6849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101235892) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2013-01-30 |