| NPI | 1568651719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY WILEY CORBETT Medical Doctor 434-392-9366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101057605) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2015-05-18 |