NPI | 1831155415 |
---|---|
Entity Type | Organization |
Authorized Contact | SARA L CHRISTIANSEN Owner Medical Director 910-458-5750 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200201352) |
Enumeration Date | 2006-04-24 |
Last Update Date | 2020-08-22 |