| NPI | 1356687370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT WESTBROOK Owner/Manager 910-596-0843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: NC 0010-00569) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: NC 0010-00569) |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2013-06-08 |