NPI | 1972699346 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN F BURNS Administrator 434-239-8104 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101040584) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2020-08-22 |