| NPI | 1801177639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SWAIN TEACHEY President 757-464-9165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: VA 0101027211) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NC 16027) |
| 207Y00000X Otolaryngology (Licence: FL ME17505) | |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2012-12-27 |