| NPI | 1629035688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH E JONES President 540-382-6148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101026426) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2008-04-20 |