| NPI | 1386076693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY W MCKEEL Owner 336-855-6316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NC 1107) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2013-11-20 |