NPI | 1033111372 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA S BATTS Office Manager 252-291-8523 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 9800846) |
Enumeration Date | 2005-06-01 |
Last Update Date | 2012-12-11 |