| NPI | 1689226854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIA R DIXON Family Medicine Nurse Practitioner 804-420-8650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-08-08 |