| NPI | 1477978153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ANNETTE VARNEY Business Manager 276-964-7465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: VA 2201-001330) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-03-04 |