| NPI | 1295013696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA N SEABROOK Insurance Specialist 251-445-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: AL MD19175) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2022-07-01 |