NPI | 1235595927 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA HERSHBERGER Family Nurse Practitioner 910-736-7002 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 196391) |
Enumeration Date | 2016-01-11 |
Last Update Date | 2016-01-11 |