| NPI | 1235521667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN BARRON CHESHIRE Physician / Owner 757-726-6078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101229833) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101229833) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-02-23 |