| NPI | 1891782033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE CONSTANTINE PANTELAKOS Md Owner 910-323-0334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 39456) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2012-08-08 |