| NPI | 1093062598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY PRICE Chief Executive Officer 910-246-5333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2012-08-14 |