| NPI | 1831639111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA RAMSEY Owner Manager 804-347-2591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0102203776) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: VA 0102203776) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024168024) | |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |