| NPI | 1285722215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA D STRICKLAND Office Manager 910-891-1391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 101631) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 102592) |
| 363A00000X Physician Assistant (Licence: NC 102070) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2015-08-18 |