| NPI | 1184244774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ABBOTT CEO, Medical Director 757-320-9383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 133N00000X Nutritionist |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |