| NPI | 1194327155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND ALBERT GASKINS Physician Owner 910-977-1399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2020-11-14 |