| NPI | 1003853409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN OLZARK Practice Manager 910-692-8224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2024-09-26 |