| NPI | 1639220031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KAY BUTTERWORTH Chief Operations Manager 540-772-3641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101056023) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2009-09-29 |