| NPI | 1912284852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY PALAZZO Vice President Of Finance 251-435-1361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2019-11-01 |