| NPI | 1770613044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM TEDRICK JOHNSON VP 804-237-7760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2010-06-11 |