| NPI | 1497017982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL GOODWIN Vice President 910-667-7597 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RH0000X Internal Medicine Hematology |
| 207RX0202X Internal Medicine Medical Oncology | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2021-05-06 |