NPI | 1033565007 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN R SCYOC CEO 910-330-2335 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
261QU0200X Clinic/Center, Urgent Care | |
Enumeration Date | 2016-05-10 |
Last Update Date | 2019-06-17 |