| NPI | 1851324958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HORACE J JACKSON President Owner 804-788-0556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2008-06-24 |