COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

NPI # 

Practice Address:

3130 Victoria Blvd

Hampton, VA, 23661-1544

Practice Phone:

757-727-1172

Practice Fax:

757-727-1185

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Health Service

Taxonomy Code:

261QH0100X