| NPI | 1023257300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP GOLDSTEIN President, Owner 252-758-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NC AS0118) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC AS0118) |
| 261QE0800X Clinic/Center, Endoscopy (Licence: NC AS0118) | |
| 291U00000X Clinical Medical Laboratory (Licence: NC 34D2055053) | |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2020-08-05 |