| NPI | 1356845309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA L. SCHAEFFER Vice Chancellor For Student Affairs 910-521-6175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0000X Family Medicine, Adolescent Medicine (Licence: NC 183091) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: NC 183091) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-03-22 |