| NPI | 1427359090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA DUNCAN Office Manager 276-623-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101050628) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101059370) |
| 208000000X Pediatrics (Licence: VA 0101051074) | |
| 208000000X Pediatrics (Licence: VA 0101243877) | |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2010-11-12 |