| NPI | 1356345920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P. MOULTON, M.D. President 910-452-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2019-10-28 |