| NPI | 1710318241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY A TAYLOR Manager 757-252-2765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2018-03-17 |