| NPI | 1770881187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA P TATE Managing Partner 540-371-4488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: VA 0101242169) |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2011-05-27 |