| NPI | 1467571588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN FREDERICK VAUGHAN Medical Director Owner 804-733-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101029194) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-02-20 |