| NPI | 1790044311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS PRINCE Director 757-252-2760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2020-11-03 |