| NPI | 1548523095 |
|---|---|
| Doing Business As | CCS WILMINGTON |
| Entity Type | Organization |
| Authorized Contact | FERNANDO R. MOYA Owner 910-667-5011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-06-20 |