| NPI | 1346048618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRESTON FULGHAM Owner 251-343-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081H0002X Physical Medicine & Rehabilitation Hospice and Palliative Medicine |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-03-04 |