| NPI | 1861500506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOUHAMED IYAD FAKHRI Owner 910-590-0009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200301225) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2008-08-18 |