| NPI | 1669743134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIE PARKER President 757-708-4501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101238123) |
| Enumeration Date | 2012-01-15 |
| Last Update Date | 2012-01-22 |