| NPI | 1962620997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT G VERNON President 910-891-5808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 9501139) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2019-10-02 |