| NPI | 1063816635 |
|---|---|
| Doing Business As | NHRMC PHYSICIAN GROUP MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | GRAY REGISTER Credentialing Mgr 910-772-9202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2014-10-14 |