| NPI | 1750323903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES D NELSON Owner 340-774-3633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2009-03-19 |