| NPI | 1902126444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUNTER BALLTZGLIER Director 910-590-8755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2007-00411) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2017-08-09 |