| NPI | 1063743920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ELIZABETH RING Doctor 757-321-6096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: VA 0101040461) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2010-01-20 |