| NPI | 1407362023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIEANNE G MCGREGOR Owner 984-999-0902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2007-00375) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2023-08-02 |