| NPI | 1699464750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOREATHA ROGERS Rcs Manager 980-302-7992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2023-05-04 |