| NPI | 1366968539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY J HAYES Owner/Physician 804-654-1105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101244940) |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2022-07-21 |