| NPI | 1811024979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOICHA G RAY Administrative/Financial Supervisor 252-561-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 970062) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2023-10-09 |