| NPI | 1689292625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA SULLIVAN Office Manager 910-446-1653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085D0003X Radiology Diagnostic Neuroimaging |
| Additional Taxonomies | 261QS1200X Clinic/Center Sleep Disorder Diagnostic |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-09-09 |