| NPI | 1346697539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY PALAZZO VP Of Finance 251-435-1361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2019-08-26 |