NPI | 1598840126 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY C MCCOIG Practice Administrator 540-862-6849 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0102037024) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2020-08-22 |