| NPI | 1497186480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MOFFATT Owner/Provider 804-320-0929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101028122) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2015-04-08 |