| NPI | 1114100872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PAUL MOULTON President 910-452-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NC 15811) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2011-05-03 |