| NPI | 1184673378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M ECKERT Credentialing Specialist 252-413-6740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X (Licence: NC NC AP 00000583) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2010-03-01 |