| NPI | 1245760875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DAVID CLARK Owner/Physician 252-295-8685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2024-11-21 |