NPI | 1164672515 |
---|---|
Entity Type | Organization |
Authorized Contact | DAWN TRACY LANGLEY President/CEO 910-272-6422 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 102637) |
Enumeration Date | 2008-09-23 |
Last Update Date | 2008-09-23 |