| NPI | 1780237412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEROY P GROSS CEO 757-722-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-08-02 |