| NPI | 1063058303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE C MCDONNELL Chief Financial Officer 757-312-3138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2020-10-27 |