| NPI | 1922552488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELVARATNAM SINNA Physician 910-483-0049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200801024) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |