| NPI | 1194117572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM MINU FERNZ Director 910-617-2196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 009600530) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-02-23 |