| NPI | 1518014901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA P BODIFORD Office Manager 910-739-7551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 40303) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2008-05-23 |