| NPI | 1942242599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE HIGGINS Credentialing 252-222-5865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| 335E00000X Prosthetic/Orthotic Supplier | |
| 208800000X Urology | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2024-05-29 |