| NPI | 1689875312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN J HARVIE Medical Director 434-799-1123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101013597) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |