| NPI | 1700287869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH B FISER VP Managed Care And Revenue Cycle 910-615-5572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NC H0213) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2023-12-28 |