| NPI | 1558628883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAZIL A MOHAMED Physician 910-620-1053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NC 201001263) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |