| NPI | 1568493138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA MANCINI Physician/Owner 540-361-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101057773) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101237959) |
| 208000000X Pediatrics (Licence: VA 0101043865) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-08-22 |