| NPI | 1558528182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE J. FLEENOR President 276-523-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101017923) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-06-06 |