| NPI | 1023863388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILENE BOYKIN Owner 251-533-3143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2024-04-20 |
| Last Update Date | 2024-04-22 |