NPI | 1821246869 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER A PARK President 251-340-6600 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AL MD.28938) |
Enumeration Date | 2008-09-03 |
Last Update Date | 2009-03-18 |