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 |