| NPI | 1174960124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE BELL ALLEN Physician Owner 910-515-1506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2013-05-31 |