| NPI | 1831366368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE DENISE REYNOLDS Doctor 252-559-8838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 9601701) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2011-02-15 |