| NPI | 1326143306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY L SALLE Business Manager 804-272-7565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0101025435) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101026634) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: VA 0101237679) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2014-08-08 |