| NPI | 1922690908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE JONES Office Manager 804-739-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2023-11-15 |