| NPI | 1528007010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD THOMAS Doctor 757-340-3489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 207RC0200X Internal Medicine, Critical Care Medicine | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2015-03-09 |