| NPI | 1326235581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWIS YVETTE TOLER CEO/Physician 276-656-2185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101241172) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2009-07-13 |