| NPI | 1619903481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD H WEISNER COO 252-962-8071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC H0228) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NC H0228) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2018-10-29 |