| NPI | 1447471479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES THOMAS POTTER President 276-679-0800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: VA 0101232468) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2010-03-05 |