| NPI | 1689568651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MALOY BROWN Owner 252-714-7514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology |
| 207K00000X Allergy & Immunology | |
| 207KA0200X Allergy & Immunology, Allergy | |
| 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2025-06-05 |
| Last Update Date | 2025-06-16 |