| NPI | 1811028152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWIGHT FITZGERALD MATTHIAS President 757-436-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0101229098) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |