| NPI | 1851598114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY COOK Office Manager 434-392-7859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: VA 0101047394) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: VA 0101047394) |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: VA 0101047394) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2016-02-22 |