| NPI | 1992548689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI HARRIS MINTO Owner 251-732-6277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| 261QS1200X Clinic/Center, Sleep Disorder Diagnostic | |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-10-07 |