| NPI | 1518990423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY M HANKINS Practice Administrator 757-466-9288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2013-02-20 |