| NPI | 1255179560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOLFRAN ALEJANDRO RIVERA Owner And Practitioner 910-758-1769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2024-07-19 |