| 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 |