| NPI | 1427126911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES H MIXON Doctor 757-826-9425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2008-01-07 |