| NPI | 1245661701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSPEH B FISER Executive Director, Corporate Reven 910-615-5572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service (Licence: NC H0213) |
| 261QX0200X Clinic/Center Oncology (Licence: NC H0213) | |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2025-06-11 |