| NPI | 1881786630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGIA B THOMAS Practice Manager 276-679-0899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101034800) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |