| NPI | 1801979539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOIS A SHWAYDER Administrator 757-874-2790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101030251) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2013-07-29 |