| NPI | 1902056948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS MICHAEL MAHAN Doctor 252-430-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NC 25053) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2008-09-26 |