| NPI | 1023271210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY A CAINES President 910-520-3099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 333600000X Pharmacy | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-09-23 |