| NPI | 1346436797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM H. SNODGRASS Administrator 804-745-0054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2010-06-30 |