| NPI | 1306855770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PADMA DEVI YERRA Off Manager 252-535-6478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 9700163) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NC AS0141) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2014-02-04 |