| NPI | 1518216118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL GOODWIN Vice President 910-667-7597 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology |
| 207VX0000X Obstetrics & Gynecology Obstetrics | |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2021-05-06 |