| NPI | 1336459171 |
|---|---|
| Doing Business As | CHARTER COLONY FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | STEPHAN QUIRICONI CFO 804-281-8301 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2019-07-18 |