| NPI | 1760623730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE LOVELESS Cbo Director 910-796-7730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NC 73991) |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2023-02-03 |