NPI | 1285778829 |
---|---|
Entity Type | Organization |
Authorized Contact | MELVA RICHARDSON BOWMAN Corporate President 910-582-2696 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 35275) |
Enumeration Date | 2007-02-16 |
Last Update Date | 2014-01-08 |