| NPI | 1164677332 |
|---|---|
| Doing Business As | CAROLINA PINES WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL PATRICK SHUSKO President 910-347-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 200301290) |
| Additional Taxonomies | 261QM2500X Clinic/Center Medical Specialty (Licence: NC 200301290) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2009-02-10 |