| NPI | 1235073743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J HARRIS Sole Owner 910-547-4241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LA0401X Anesthesiology, Addiction Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 2083A0300X Preventive Medicine, Addiction Medicine | |
| Enumeration Date | 2026-04-15 |
| Last Update Date | 2026-04-15 |