| NPI | 1750714440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN T BARDEN CFO 540-741-1494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 208600000X Surgery | |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2024-01-22 |