| NPI | 1598019176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA L JINGLE Sole Member 910-690-4414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2012-11-03 |
| Last Update Date | 2017-04-05 |