| NPI | 1679895668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME GLASCOE SMITH President 804-276-4266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101035708) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-03-11 |