| NPI | 1841216496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES THOMAS POTTER CEO 276-679-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: VA 0101232468) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2019-12-23 |