| NPI | 1447587316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY R CHAPONDA President 910-401-0121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200400022) |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2009-11-12 |