NPI | 1790194470 |
---|---|
Entity Type | Organization |
Authorized Contact | SILKY BAGGA Owner/Practitioner 804-571-5000 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101-246465) |
Enumeration Date | 2014-08-07 |
Last Update Date | 2014-08-07 |