| NPI | 1699781393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDA BOOKER Billing Manager 804-323-5575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101038398) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2023-03-07 |