| NPI | 1912354374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID FAIRBROTHER President 252-525-8112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology |
| Additional Taxonomies | 208000000X Pediatrics |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NC 9801251) | |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2021-07-27 |