| NPI | 1841285293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET ROSE DONOHOE Owner 252-335-2923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2011-12-12 |