| NPI | 1750448791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJU B RAVAL Medical Director 910-826-7828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 9700722) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2013-07-19 |