| NPI | 1801813456 |
|---|---|
| Doing Business As | PED |
| Entity Type | Organization |
| Authorized Contact | STUART BRYSON LEY Owner/Manager 910-762-6481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NC 9401253) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-12-21 |