NPI | 1902188964 |
---|---|
Entity Type | Organization |
Authorized Contact | MORGAN A TODD Physician 910-278-3500 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NC 200701097) |
Additional Taxonomies | 251B00000X Case Management (Licence: NC 200701097) |
Enumeration Date | 2011-09-15 |
Last Update Date | 2011-09-15 |