NPI | 1588718423 |
---|---|
Entity Type | Organization |
Authorized Contact | BRADLEY H. BETHEL Physician 910-276-7727 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 33616) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 33616) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2008-07-10 |