| NPI | 1316543739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD G. MICHAL Physician/Owner 252-314-2177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2021-01-28 |