| NPI | 1013986579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN L GREEN President 757-869-9922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: VA 0101028335) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2013-02-21 |