| NPI | 1134189046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORA M DAUGHHETEE Practice Administrator 910-815-3420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2020-08-22 |