| NPI | 1508185810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL THOMAS ASHWORTH President 804-794-2443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101029898) |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2011-01-13 |