| NPI | 1568855427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLETCHER G MATTHEWS Owner/Physician 540-904-5366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 101226961) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2020-06-13 |