| NPI | 1427106079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP WAYNE BIBB President 910-763-3481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC NC101625) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2018-04-02 |