| NPI | 1104062710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY C. EIDSON Owner 252-382-1480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: NC 5062) |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2009-01-02 |