| NPI | 1376507715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C. THOMAS JOHNSON Vice President Finance 910-671-5090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: NC H0064) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2009-11-04 |