| NPI | 1154580587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LONG SAUNDERS Office Manager 910-867-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NC 2863) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |