| NPI | 1285697110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH WATSON MCCALLUM Office Manager 252-247-2013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207N00000X Dermatology | |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2008-05-22 |