| NPI | 1952739500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DAVID MUMPER Md 804-282-2655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2013-10-17 |