| NPI | 1902826118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEON LARTIGUE Practice Manager 251-432-0558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 170100000X Medical Genetics, Ph.D. Medical Genetics (Licence: AL 2086S0129X) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |