| NPI | 1699266742 |
|---|---|
| Doing Business As | NORTHSTAR INTERNAL MEDICINE CLINIC AT GIBSON CANCER CENTER |
| Entity Type | Organization |
| Authorized Contact | CHARLES THOMAS JOHNSON VP/CFO 910-671-5090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2020-10-08 |