| NPI | 1306031620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON R CLEMONS Proprietor 704-519-6914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: NC 2006-01145) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2010-07-19 |