| NPI | 1649238486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA P O'NEILL PFS Director 910-815-5228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| 207RH0003X Internal Medicine Hematology & Oncology | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2013-01-16 |