| NPI | 1508117185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES O ROBERTS Vice President For Business & Treas 910-893-1240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RS0010X Internal Medicine, Sports Medicine |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2013-03-08 |