| NPI | 1912949439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS W NICHOLSON President 252-946-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2008-01-02 |