NPI | 1629411731 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLOTTE WALL Practice Manager 251-243-7058 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 22050) |
Enumeration Date | 2013-04-09 |
Last Update Date | 2024-05-15 |