| NPI | 1003915018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES JAQUELIN CROSSWELL President 252-728-3875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 28568) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-07-08 |