| NPI | 1649049958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS GEORGE KAKNES Medical Director 540-595-9332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine |
| Enumeration Date | 2023-12-28 |
| Last Update Date | 2025-10-01 |