NPI | 1114134293 |
---|---|
Entity Type | Organization |
Authorized Contact | TOBY B OKONS Ceopresident 910-429-0647 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2007-05-17 |
Last Update Date | 2021-11-23 |