| NPI | 1063714012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY PALAZZO Vice President Of Finance 251-435-1361 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: AL MD.24560) |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2019-11-01 |