| NPI | 1053830315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT R GAMBLE Office Manager 910-677-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NC 1853) |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2021-01-07 |