| NPI | 1235285511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA J LITTLES CEO 251-633-3662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AL 12672) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2010-03-12 |