NPI | 1154496776 |
---|---|
Doing Business As | VIRGINIA BEACH NEUROLOGY |
Entity Type | Organization |
Authorized Contact | ANDREA J GLOVER Credentialing 757-481-3808 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: VA 0101052447) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2009-05-27 |