| NPI | 1558541052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNY CHARLES NALL Physician/Owner 252-948-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 9901269) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2010-10-12 |