| NPI | 1528071776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES EDWARD SHERMAN President 251-937-7970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2023-03-07 |