NPI | 1528282241 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA P SUTHERLAND President 276-935-7515 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0102035890) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2009-12-02 |