| NPI | 1326355801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY PITTMAN Administrator 804-402-5403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2013-06-21 |