| NPI | 1326399338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FULTON G DEFOUR Member 251-990-1922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208M00000X Hospitalist |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2016-06-03 |