| NPI | 1508825241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY C TUCKER Administrative Assistant 804-559-9903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2022-07-21 |