| NPI | 1265828990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD HEINZMAN Director 910-590-8755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-10 |