| NPI | 1710229570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON FERRIS WILLIAMS Practice Manager 910-763-2476 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 39555) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2025-11-20 |