| NPI | 1548672504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES THOMAS JOHNSON Cro 910-671-5083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: NC H0064) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2022-03-25 |