| NPI | 1043353956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LESNICK Vice President 757-594-4006 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2021-04-29 |