| NPI | 1821473760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER E EMORY President 757-345-5599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: VA 0101840454) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-07-21 |