| NPI | 1538173323 |
|---|---|
| Doing Business As | SOUTHPORT INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DINESH S PAI VP Of Operations 704-384-9104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2009-10-29 |