| NPI | 1396015939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY PEPPER CEO 910-297-1853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: NC NC103010) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2022-07-20 |