| NPI | 1609912112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM L COKER Physician President 757-838-8030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101020320) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2009-11-25 |