| NPI | 1316274145 |
|---|---|
| Doing Business As | FORT NORFOLK PLAZA PRIMARY CARE, PC |
| Entity Type | Organization |
| Authorized Contact | PEGGY NEWBY CFO 757-624-1785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2020-06-30 |