| NPI | 1578257655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA LYNETTE KING Pediatrician/Co Owner 804-370-6660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2023-07-31 |