| NPI | 1043680523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL EUGENE GOODWIN Executive VP 910-667-9402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208600000X Surgery | |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |