| NPI | 1811953995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER B WAGNER President 252-757-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RI0011X Internal Medicine Interventional Cardiology | |
| 363AM0700X Physician Assistant Medical | |
| 363LA2200X Nurse Practitioner Adult Health | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2007-09-07 |