NPI | 1568529303 |
---|---|
Entity Type | Organization |
Authorized Contact | THEODORE W NICHOLAS Physician 252-261-5868 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2002-0059) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2013-09-05 |