NPI | 1881457273 |
---|---|
Entity Type | Organization |
Authorized Contact | KEEGAN ZIEMBA Owner 757-630-2721 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
208000000X Pediatrics | |
Enumeration Date | 2024-01-30 |
Last Update Date | 2024-01-30 |