| NPI | 1871732784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK C CRUM President 757-484-7386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101038607) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2009-02-17 |