| NPI | 1386989028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY C. PARIS Insurance/Billing Specialist 910-914-0540 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: SC DO 1480) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2024-06-17 |