| NPI | 1982151577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY K WILLIAMS Operations Manager 804-823-7707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101236987) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: VA 010300694) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2017-02-15 |