NPI | 1952374217 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL G. KIDD President 910-738-8154 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
Additional Taxonomies | 174400000X Specialist |
207L00000X Anesthesiology | |
Enumeration Date | 2006-02-08 |
Last Update Date | 2010-02-04 |