| NPI | 1881968709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICKEY FOSTER CEO 910-715-4473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207Q00000X Family Medicine | |
| 207QG0300X Family Medicine Geriatric Medicine | |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 207RN0300X Internal Medicine Nephrology | |
| 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery | |
| 207X00000X Orthopaedic Surgery | |
| 207ZP0101X Pathology Anatomic Pathology | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology | |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LF0000X Nurse Practitioner Family | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2025-02-05 |