| NPI | 1134366305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS B GIDLEY Owner 252-355-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: NC #640) |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2009-03-04 |