| NPI | 1598478182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON JACOBS-SHAW President 910-987-3272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2024-12-10 |