| NPI | 1942512504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANTHONY EAST President/Owner 757-222-0012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2010-07-11 |
| Last Update Date | 2019-12-12 |