| NPI | 1871247759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARION CONSTANTINIDES CEO 757-965-2476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor |
| 111NN0400X Chiropractor, Neurology | |
| 163W00000X Registered Nurse | |
| 175L00000X Homeopath | |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine | |
| 261Q00000X Clinic/Center | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QP3300X Clinic/Center, Pain | |
| 261QR0200X Clinic/Center, Radiology | |
| 261QR1100X Clinic/Center, Research | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-08-31 |