| NPI | 1871608059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE ANNE PAUL President 252-633-2081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 001290842) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 39295) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2010-07-19 |