| NPI | 1902977705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE BERGAMO VP 804-267-5950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2025-11-20 |