| NPI | 1154476315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY LEE WILLIAMS President 252-452-9711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: NC HC3277) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2008-08-06 |