| NPI | 1124384441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOBOLANLE O GBADAMOSI Physician 252-208-1965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 200901445) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2013-07-16 |