| NPI | 1235670175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MCKNIGHT Owner/Physician 252-723-1369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NC 38137) |
| Enumeration Date | 2017-03-11 |
| Last Update Date | 2020-05-01 |