NPI | 1477627180 |
---|---|
Entity Type | Organization |
Authorized Contact | MAC ADOLF MONTILUS Dr. Mac Montilus, Md 910-272-8800 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 97-01503) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 200201439) |
Enumeration Date | 2006-11-17 |
Last Update Date | 2023-03-07 |