| NPI | 1831715929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIEN ROBERTS Practice Manager 804-839-3852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2021-01-21 |