| NPI | 1588689251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R. SWEENEY Owner 757-539-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2008-01-31 |