| NPI | 1326074592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN STUART LOGUE President 910-483-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 62468) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2010-03-02 |