| NPI | 1376564625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRIE-ANNE ALEXANDRA HERON Member Manager 252-237-5237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200300353) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2016-05-10 |