| NPI | 1295715076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE THOMAS HOLLAND Physician 910-278-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NC 39512) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: NC 0039512) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2008-08-25 |