| NPI | 1659494441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ROBERT DANDRIDGE Owner 434-977-6622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101021049) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2011-11-01 |