| NPI | 1851344956 |
|---|---|
| Doing Business As | PROFESSIONAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | CHARLES THOMAS JOHNSON Vice President Of Finance 910-671-5090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-08-22 |