| NPI | 1396135364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON J MITCHELL Owner 252-234-1720 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NC 5004990) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2021-12-28 |