| NPI | 1225575830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNFER DENICE SINCLAIR Medical Billing And Coding 757-738-9152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2017-01-22 |
| Last Update Date | 2017-01-22 |