| NPI | 1225466527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE CALHOUN Office/Patient Coordinator 757-213-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-23 |