NPI | 1053146837 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL THOMAS CFO 910-512-2520 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
261QU0200X Clinic/Center Urgent Care | |
Enumeration Date | 2024-09-03 |
Last Update Date | 2024-09-03 |