| NPI | 1922296409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DREAMA ANN LONG Office Manager 540-434-1512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101039965) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |