| NPI | 1477763746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R PATTERSON Owner 757-340-3489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: VA 200299099R) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |