| NPI | 1356012181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY M R HAYNES Owner 252-864-5790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207PT0002X Emergency Medicine, Medical Toxicology | |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2021-11-09 |