| NPI | 1548719859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID EDWIN BERRY Manager 540-443-3940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0102052848) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |