| NPI | 1083898589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEILL JONES Owner 910-484-4291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: NC FCL026012) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |