| NPI | 1346871167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA MADISON Credentialing 251-318-2681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2021-04-06 |