| NPI | 1346270642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EARL WEST Owner 910-522-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 105305) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2009-11-03 |