| NPI | 1417144379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAYE ROGERS CARROLL Office Manager 804-282-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: VA 0101226514) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2010-10-01 |