| NPI | 1922347764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER D FOODRELL President 804-330-9830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 363A00000X Physician Assistant | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2025-10-13 |