| NPI | 1225248776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORA HUNT Office Manager 910-844-8150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NC NC86727) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-10-17 |