| NPI | 1689731986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M. PITMAN Physician 757-229-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101052484) |
| 208200000X Plastic Surgery | |
| 2082S0105X Plastic Surgery, Surgery of the Hand | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-12-11 |