| NPI | 1982984704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY SAMSON Physician 919-260-8760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME 99900) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2011-08-24 |