| NPI | 1073694659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY M COX Office Manager 251-970-1954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: AL 00012151) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-05-13 |