| NPI | 1932250982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIONNE CORNELL WEBB Billing 703-687-4363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101058298) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2026-05-20 |