| NPI | 1366864183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY W GOLDEN Chief Executive Office 251-434-6779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-14 |