| NPI | 1508921156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SKAHILL Secretary &Treasurer 252-792-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200200174) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |