NPI | 1477549780 |
---|---|
Entity Type | Organization |
Authorized Contact | APRIL BRYANT Practice Administrator 252-321-8474 |
Organization Subpart ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2005-09-22 |
Last Update Date | 2023-11-29 |