NPI | 1790976496 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE SEMPLE Division Surgeon 910-451-8372 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1102X Clinic/Center, Military Outpatient Operational (Transportable) Component |
Enumeration Date | 2007-08-07 |
Last Update Date | 2007-08-07 |