| NPI | 1538785100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY SHERRON VP Finance/Cf) 252-633-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |