| NPI | 1053465104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES THADDEUS COIN Owner 910-762-9131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 29814) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2012-05-10 |