| NPI | 1639282957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADEN MILLER CFO 757-316-3960 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2016-05-25 |