| NPI | 1265685390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA L. PARKS President 757-491-9065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101046453) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2008-11-03 |