| NPI | 1992037709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN B PACK Physician Assistant 910-862-7225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 101844) |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-02-03 |