NPI | 1699001081 |
---|---|
Entity Type | Organization |
Authorized Contact | KEITH H NEWBY President 757-624-1785 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
261QU0200X Clinic/Center, Urgent Care | |
Enumeration Date | 2009-10-20 |
Last Update Date | 2020-07-15 |