| NPI | 1578533261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH D WHITLARK Owner 252-939-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 163WI0500X Registered Nurse Infusion Therapy |
| 208600000X Surgery | |
| 2086S0129X Surgery Vascular Surgery | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2012-09-20 |