| NPI | 1366163677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA E SMITH Medical Billing Operations Manager 434-422-2061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2023-04-26 |