| NPI | 1861506545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARITA Q ISSA Corp Sec 910-577-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 22581) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-11-14 |