| NPI | 1477512812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JOHN GRUCHACZ President 252-438-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 9700258) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 9701734) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2020-08-22 |