| NPI | 1447663901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE KANE SMITH Billing Specialist 703-671-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 1127672014) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |