| NPI | 1225797681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS PRINCE Director 757-983-5475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2021-12-14 |