| NPI | 1417694985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH FIELDS-JOHNSON Owner/Family Physician 804-251-0402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2022-05-17 |