| NPI | 1205905361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY PALAZZO Vice President Of Finance 251-435-1361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-06-26 |