| NPI | 1891988564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL D.H. CANSLER President 709-755-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036066127) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2007-08-24 |