NPI | 1396865861 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN SPARROW DUFFY President 910-343-5250 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 200300776) |
Enumeration Date | 2007-03-30 |
Last Update Date | 2020-08-22 |