| NPI | 1437334141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARIE REYNOLDS Physician Practice Manager 540-247-2701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 11048) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-01-02 |