| NPI | 1124269238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARFIELD HUE SAMUELS Officer 757-518-8827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101240760) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2023-01-31 |