| NPI | 1871043109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN STUART CRANE President/Onwer 910-251-9944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 34583) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2021-03-31 |