| NPI | 1700889557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA P CORBETT Delegated Official 910-295-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 9700591) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2025-09-16 |