| NPI | 1659571610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS DELORIS FOSKEY Office Manager 910-938-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: NC 20584) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NC 20584) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2008-09-08 |