| NPI | 1902060049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB V GREUEL President 251-955-1030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 27744) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 27744) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2008-11-18 |