| NPI | 1457536112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY M CONWAY Physician 252-940-1174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 95-00870) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 9500870) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2009-12-19 |