| NPI | 1649702762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELORES LORRAINE JOHNSON-LEE Physician 910-964-6829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 200400525) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 200400406) |
| 207V00000X Obstetrics & Gynecology | |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2018-02-23 |