| NPI | 1467580472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA CLAY DODD Office Manager 757-875-5332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101036628) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2008-06-06 |