| NPI | 1578897716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET HOFFMAN Owner/President 251-970-5342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 22341) |
| Additional Taxonomies | 173000000X Legal Medicine |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2014-12-10 |