NPI | 1538109046 |
---|---|
Entity Type | Organization |
Authorized Contact | MAC ADOLPH MONTILUS President 910-272-8800 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 97.01503) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2011-08-29 |