| NPI | 1447515473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE L SMITH Owner 540-313-4358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2019-02-18 |