| NPI | 1609835339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY T LYNAM President 804-560-5260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2018-10-01 |