| NPI | 1770088924 |
|---|---|
| Doing Business As | 757 FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | BRANDON BURR Director 757-255-8546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-03-29 |