| NPI | 1396484572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY GRAHAM Partner/Provider 910-630-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2022-06-03 |