| NPI | 1184737462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA MIKHAIL Practice Administrator 910-938-1114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 207Q00000X Family Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-05 |