| NPI | 1598916777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE JOHNSON Practice Administrator 910-323-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy |
| 332S00000X Hearing Aid Equipment | |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2008-10-06 |