| NPI | 1104145390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEEA JEANINE WALTON Rcs Manager 704-316-6081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2024-05-16 |