| NPI | 1497848048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH THATCHER HODGES Administrator 252-752-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology | |
| 2085N0700X Radiology, Neuroradiology | |
| 103G00000X Clinical Neuropsychologist (Licence: NC 2646) | |
| 103TC0700X Psychologist, Clinical (Licence: NC 1188) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2009-09-02 |