| NPI | 1356461495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATE R MOORE Billing Office Manager 540-981-9394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2010-06-30 |