| NPI | 1619473766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY PALAZZO Vice President Of Finance 251-435-1331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2021-02-03 |