| NPI | 1972685303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA SCHNEIDER Physician/Owner 757-827-0767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101035848) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2008-04-20 |