| NPI | 1477245108 |
|---|---|
| Other Name | ETHEL, LLC |
| Entity Type | Organization |
| Authorized Contact | TERESA DENISE PILES-HORTON Family Nurse Practitioner 757-620-2784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2024-05-22 |