| NPI | 1700839958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE GRISETTI Director Of Operational Support 540-224-5352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2023-05-24 |