| NPI | 1336618263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAOMI AYLESWORTH Authorized Official 804-464-8412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2024-11-05 |