| NPI | 1922040419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN L PETERSON Practice Administrator 910-362-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2008-06-26 |