| NPI | 1043643927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE LOVELESS AO 910-796-7730 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 73991) |
| Additional Taxonomies | 207N00000X Dermatology |
| 207Q00000X Family Medicine | |
| 207V00000X Obstetrics & Gynecology (Licence: NC 73991) | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208800000X Urology | |
| 2088F0040X Urology, Female Pelvic Medicine and Reconstructive Surgery | |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2023-02-02 |