| NPI | 1639201056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY MICHELLE YOUNG Practice Manager 910-762-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 85716) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2012-12-27 |