| NPI | 1770723447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA WEBB Ofc Mgr 251-633-3617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AL 00022814) |
| Additional Taxonomies | 174400000X Specialist (Licence: AL 7939) |
| 174400000X Specialist (Licence: AL 13909) | |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-02-20 |