| NPI | 1619246733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN F SHIELDS Billing Manager 804-282-9133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101034738) |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2011-12-19 |