| NPI | 1407134323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN DAVID RAPPAPORT Billing Manager 252-808-3696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 103970) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2013-06-24 |