| NPI | 1386815876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCEDES VALENCIA PAYNE Medical Director 540-845-4139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0021550280) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2009-06-29 |