| 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 |