| NPI | 1972603132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDHYA ANNE THOMASMONTILUS CEO 910-738-2330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 9701618) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2011-09-14 |