| NPI | 1548341548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA JOAN GEORGE President 757-563-9291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101054067) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |