NPI | 1376505156 |
---|---|
Entity Type | Organization |
Authorized Contact | MAURICE V. HORTON Owner 910-392-1488 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 111N00000X Chiropractor |
Enumeration Date | 2006-04-05 |
Last Update Date | 2025-09-11 |