| NPI | 1770770380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH CAMERON NICHOLS President 757-686-9747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: VA 0101040623) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2008-07-16 |