NPI | 1700078383 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERLY M. BELLE Family Practice Provider 804-321-1400 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: VA 0101049033) |
Enumeration Date | 2007-08-16 |
Last Update Date | 2023-03-07 |