| NPI | 1093982605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SAMUEL THOMAS ARMITAGE Owner/Physician 910-792-1001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 200101001) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2019-10-07 |