NPI | 1508817735 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE M BRIGHT Owner 804-794-8900 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0000X Family Medicine, Adolescent Medicine (Licence: VA 19411) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2020-08-22 |