| NPI | 1912004110 |
|---|---|
| Doing Business As | MIDLOTHIAN FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | KRISTIE L CLOUD Administrative Assistant 804-794-5411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-12-27 |