| NPI | 1992252670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE MCPEARCE Md 340-244-9658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VI 1957) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-09-09 |