| 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 |