| NPI | 1699895508 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | CHARLES PAYLING-WRIGHT Secretary 703-481-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2013-01-02 |