| NPI | 1316284300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES D MUMPER Medical Director 804-282-2655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC MD9313) |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2023-03-03 |