Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QS0010X | Family Doctor - Sports Medicine | 0102204998 | VA |
NPI | 1326402116 |
---|---|
Provider Name | Dr. Che Monte Torry |
First Address | Newport News, VA 23606-3585 |
Second Address | Newport News, VA 23606-3585 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2016 |
Last Update Date | 02/07/2020 |