NPI | 1285740001 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH D BROWN Owner/President 757-220-0557 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101014389) |
Enumeration Date | 2006-08-22 |
Last Update Date | 2008-03-27 |