| NPI | 1114304037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA PARKER Credentialing Specialist 252-413-6740 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-04-29 |