| NPI | 1689757007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY COTRINA PARIS Insurance Billing Mgr 910-914-0540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: NC 85930) |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2012-03-16 |