| NPI | 1740583061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CHRISTOPHER JACKSON Outpatient Clinician 434-972-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: VA 0701001993) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |