NPI | 1942521976 |
---|---|
Doing Business As | SUNSET BEACH INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | CAROLYN WARD Loris Physician Credentialing 919-880-6406 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC C201015300336) |
Enumeration Date | 2010-06-14 |
Last Update Date | 2010-07-06 |