| NPI | 1790986800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY JANE STURGILL Practice Manager 276-679-8890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |