| NPI | 1467533877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM G TALBOTT Owner 434-984-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101034548) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 010146855) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |