| NPI | 1720175961 |
|---|---|
| Doing Business As | TIMBERLAKE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | MATTHEW A JOHNSON President 434-846-7374 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2008-06-11 |