| NPI | 1861463374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH D WHITLARK Owner 252-939-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| 208600000X Surgery | |
| 225100000X Physical Therapist | |
| 2471V0105X Radiologic Technologist, Vascular Sonography | |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2012-09-20 |