| NPI | 1528249794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C DANIEL HALL Owner 910-754-6220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 9401205) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2008-12-03 |