| NPI | 1154721272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL GARDNER Owner 252-623-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QP2300X Clinic/Center, Primary Care (Licence: NC 2010-00811) | |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2020-07-16 |