NPI | 1841185857 |
---|---|
Entity Type | Organization |
Authorized Contact | TILAHUN MEKONNEN GOSHU CEO 434-249-9752 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
207Q00000X Family Medicine | |
Enumeration Date | 2025-06-10 |
Last Update Date | 2025-06-10 |