| NPI | 1609058056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN THOR LIGE Pediatrician 252-449-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2002-00943) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: NC 200200943) |
| 363A00000X Physician Assistant (Licence: NC 0010-01994) | |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2020-08-05 |