| NPI | 1700164464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANIE S KING CFO 252-499-6104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2018-03-28 |