| NPI | 1124371646 |
|---|---|
| Doing Business As | CCS LUMBERTON |
| Entity Type | Organization |
| Authorized Contact | FERNANDO R MOYA President 910-667-5011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-10-22 |