NPI | 1801953245 |
---|---|
Former Legal Business Name | HIGHLANDS FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | SAMUEL HUGHES MELTON Family Practioner 276-889-3700 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: VA 010053835) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2020-08-22 |