| NPI | 1265479091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MAYES WILSON Office Manager 910-799-1810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 16755) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-08-22 |