| NPI | 1821480658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA DIXON ADKINS Office Manager 434-792-3730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101053147) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2015-03-03 |