| NPI | 1952069957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE C PROCTOR Physician's Assistant 757-576-8133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2021-12-07 |