NPI | 1972885945 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM F SULLIVAN Owner 251-928-8804 |
Organization Subpart ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: AK 12259) |
Enumeration Date | 2011-09-15 |
Last Update Date | 2011-09-15 |