| NPI | 1942443130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS PRINCE Director 757-252-2760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 208600000X Surgery | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 207LC0200X Anesthesiology, Critical Care Medicine | |
| 208000000X Pediatrics | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2022-02-03 |