| NPI | 1356471247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN TALMADGE MARSHALL Medical Director 804-862-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: VA 0101037608) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2008-06-10 |