| NPI | 1720435795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CAMPBELL President 757-420-8418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2025-02-14 |