| NPI | 1396133344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY A TAYLOR Manager 757-252-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2014-12-29 |