| NPI | 1912970260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL ASHE Practice Administrator 434-947-3944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101036804) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0101235766) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101036804) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101240226) | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: VA 0101036819) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2011-05-04 |