| NPI | 1124031141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES EDWARD JOHNSON Physician And CEO 251-639-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-10-18 |