| NPI | 1083426423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA HARRIS Clinic Owner 910-920-2012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2025-01-23 |
| Last Update Date | 2025-03-21 |