| NPI | 1679119499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICKEY FOSTER CEO 910-715-4473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2025-01-02 |