NPI | 1124200258 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC J CURRY V.P. Operations 757-547-5851 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101047699) |
Enumeration Date | 2007-11-30 |
Last Update Date | 2014-08-15 |