| NPI | 1336955715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLE POSILLIPO Practice Manager 910-599-7093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2024-12-10 |