| NPI | 1134460892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN A SUPAN-MCPHERSON President 252-256-7792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: NC 2005-01853) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-11 |