| NPI | 1376690339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE WALTON THOMPSON Physician 251-433-5557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: AL 24560) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |