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 |