| NPI | 1003208992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLINS OSEKI Owner 910-723-5693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 2005-0522) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |