| NPI | 1306066386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY AGNES YUENGERT President 757-223-7097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101041228) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2008-04-20 |