| NPI | 1245219799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERINN M BEEKMAN President 910-791-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NC 87550) |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2013-12-20 |