| NPI | 1598836645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT ALEXANDER VERRILLI President 910-590-3397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 29511) |
| Enumeration Date | 2006-11-12 |
| Last Update Date | 2008-06-30 |