| 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 (Licence: VA 0101246355) | |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-07-31 |