| NPI | 1124576186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM HALL Owner 252-240-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2017-05-01 |