| NPI | 1780630350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM FRAZER MORRIS President 757-965-6516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0102201792) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-08-22 |