| NPI | 1972529261 |
|---|---|
| Other Name | MED ATLANTIC INC DBA UROSURGICAL CTR OF RICHMOND |
| Entity Type | Organization |
| Authorized Contact | TERRY COFFEY Administrator 804-287-6100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: VA OH677) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2008-06-17 |