| 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 |