| NPI | 1134980279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOREATHA ROGERS Rcs Manager 980-302-7992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-01-16 |