| NPI | 1437462751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA M HARRIS Billiing Clerk 757-826-2102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101046567) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2010-07-15 |