| NPI | 1568256451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BARTON FISER VP Managed Care/Revenue Cycle 910-615-5572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-04-07 |