NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1952465064 |   |   |   | HALIFAX RADIOLOGICAL ASSOCIATES, INC. | 2204 WILBORN AVE | SOUTH BOSTON | VA | 245921645 |
1174532535 | SAN PEDRO | ELMER | C |   | 2204 WILBORN AVE | SOUTH BOSTON | VA | 245921645 |