| NPI | 1851461479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE ALBERT ROUSSEL Partner 540-433-6967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101026546) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101029805) |
| 207R00000X Internal Medicine (Licence: VA 0101044744) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2015-01-20 |