| NPI | 1811996572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL P HARRIS Office Manager 434-947-3908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101021078) |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2020-08-22 |