NPI | 1851375794 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACE GRIFFIN Practice Manager 910-662-8550 |
Organization Subpart ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
207RS0012X Internal Medicine, Sleep Medicine | |
Enumeration Date | 2005-12-05 |
Last Update Date | 2019-04-04 |