NPI | 1386835312 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENDA L TEDDER Chief Operations Officer 910-640-2021 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NC HC2333) |
Enumeration Date | 2007-08-06 |
Last Update Date | 2023-03-23 |