NPI | 1356398994 |
---|---|
Entity Type | Organization |
Authorized Contact | CAMILLA ALLYN PROCTOR President 252-443-2552 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 15996) |
Enumeration Date | 2006-05-28 |
Last Update Date | 2008-05-16 |