NPI | 1255388369 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDON ENFINGER CEO 910-235-3004 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 39578) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 39578) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 39578) | |
207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NC 39578) | |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NC 39578) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: NC 39578) | |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 39578) | |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 39578) | |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 39578) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 39578) | |
207RS0012X Internal Medicine, Sleep Medicine (Licence: NC 39578) | |
208000000X Pediatrics (Licence: NC 39578) | |
261QM1300X Clinic/Center, Multi-Specialty (Licence: NC 39578) | |
Enumeration Date | 2006-05-27 |
Last Update Date | 2023-02-16 |