| NPI | 1780796375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WISHBURNE I HUNTE Owner 340-774-1909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VI 679) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |