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 |