| NPI | 1396926143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN CHARLES HARRISON Physician/President 804-276-2470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0102201098) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0102-032395) |
| 207R00000X Internal Medicine (Licence: VA 0102-201098) | |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2009-10-26 |