| NPI | 1871639658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH F MCGHEE Owner 804-744-1231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: VA 0101030363) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |