| NPI | 1336975382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW BRENT JOHNSON Family Physician/Owner 434-337-5934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-09 |