| NPI | 1841298759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSETTA S CHERRY Practice Manager 757-420-0487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 002500-8011) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2020-08-22 |