COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

NPI # 

Practice Address:

135 Hall Avenue , Suite A

Suffolk, VA, 23434-4657

Practice Phone:

757-514-4700

Practice Fax:

757-514-4873

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Public Health, State or Local

Taxonomy Code:

261QP0905X