| NPI | 1093215147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA JONES Chief Executive Officer 910-485-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology |
| Additional Taxonomies | 1223D0004X Dentist, Dentist Anesthesiologist Speciality |
| 207L00000X Anesthesiology | |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-03-17 |