| NPI | 1043507130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES AGYEI-GYAMFI Administrator 910-739-5197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2011-00720) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2011-01204) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2013-07-18 |