| NPI | 1548387111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY A TAYLOR Manager 757-252-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2011-10-04 |