| NPI | 1922163286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN CARTER MUSTAIN Insurance Manager 434-791-1088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2015-06-26 |