| NPI | 1639283567 |
|---|---|
| Former Legal Business Name | PREMIER INFECTIOUS DISEASES, PC |
| Entity Type | Organization |
| Authorized Contact | REBECCA S. TAT Physician Secretary 910-221-3017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2011-05-10 |