| NPI | 1326622747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA DIANE FREDERICK Consultant 757-581-0506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2021-05-11 |