| NPI | 1245368299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY WAYNE BRIDGERS President 252-237-5449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC FCL-098-026) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: NC FCL-098-025) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |