| NPI | 1154777290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK CONRAD MCGUIRE President 251-214-4732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AL 22832) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RB0002X Internal Medicine, Bariatric Medicine | |
| 208000000X Pediatrics | |
| 2080B0002X Pediatrics, Obesity Medicine | |
| Enumeration Date | 2016-05-08 |
| Last Update Date | 2016-05-09 |