| NPI | 1699903542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA CEIDE HODGES Owner/Practitioner 910-483-2646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 200000824) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2013-07-12 |