| NPI | 1376853978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY A TAYLOR Manager 757-252-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2013-05-22 |