| NPI | 1558573485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA THOMAS VP Clinical Services 434-823-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX H0301) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |