| NPI | 1710273321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN L HAYNES Credentialing Manager 434-382-1139 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2011-06-22 |