| NPI | 1972772929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID P GULDSETH President 276-466-3777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101231449) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: VA 0101231449) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-04-15 |