| NPI | 1811093495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY L CRODICK Practice Administrator 757-606-2012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: VA 0101039484) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2009-08-07 |