| NPI | 1669794921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITZI J. SAMPSON Physician/President 540-370-4370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101047353) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2025-04-04 |