| NPI | 1265485270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS PRINCE Director 757-252-2760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine |
| 207N00000X Dermatology | |
| 207R00000X Internal Medicine | |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207RH0002X Internal Medicine Hospice and Palliative Medicine | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 207X00000X Orthopaedic Surgery | |
| 208000000X Pediatrics | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 2086S0129X Surgery Vascular Surgery | |
| 2086X0206X Surgery Surgical Oncology | |
| 208M00000X Hospitalist | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2022-02-03 |