| NPI | 1144994542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DANIEL HERRING Owner 910-474-3810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2026-02-26 |