NPI | 1821122144 |
---|---|
Entity Type | Organization |
Authorized Contact | PERRY WESLEY MULLEN Owner President 804-285-7307 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101038524) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2010-06-28 |