| NPI | 1689301590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA BURNS Administrator 434-227-7588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2022-08-02 |