NPI | 1629103114 |
---|---|
Doing Business As | DERMTOLOGY CENTER OF WILLIAMSBURG |
Entity Type | Organization |
Authorized Contact | MICHELE RAE SELBY Practice Administrator 757-645-3787 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: VA 3098297754) |
Enumeration Date | 2007-02-23 |
Last Update Date | 2008-02-12 |