| NPI | 1295993327 |
|---|---|
| Doing Business As | LUMBER RIVER CARDIOLOGY |
| Entity Type | Organization |
| Authorized Contact | CYRUS J FAIRCLOTH CEO 910-295-5511 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2022-03-14 |