| NPI | 1003047002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LESLIE RUBLE Owner 251-408-7778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: AL 24460) |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2009-08-31 |