| NPI | 1295940674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY DELACY CLOUSETT President 251-424-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VH0002X Obstetrics & Gynecology, Hospice and Palliative Medicine (Licence: AL 17877) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2016-10-04 |