| NPI | 1578759593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL ZECHMAN Owner 252-636-2625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: NC 35797) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2008-09-17 |