| NPI | 1053547976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MERROW Owner 910-842-5991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 103587) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2009-06-05 |