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 |