| NPI | 1710233788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BERNARD FREEMAN President 804-212-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101238680) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2012-07-27 |