| NPI | 1841344843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARL GEORGE GROSS President 252-808-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: NC 99-00855) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |