NPI | 1669858635 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES THOMPSON President 804-564-2746 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101246355) |
Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: VA 0101246355) |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: VA 0101246355) | |
Enumeration Date | 2015-07-31 |
Last Update Date | 2015-07-31 |