| NPI | 1598853178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L WHITEHEAD Credentialing COO Rdinator 919-595-2143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |