NPI | 1972616274 |
---|---|
Entity Type | Organization |
Authorized Contact | MARCUS W GILLIKIN Consultant 252-353-7162 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NC 9400307) |
Enumeration Date | 2006-08-17 |
Last Update Date | 2020-08-22 |